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Home My WebLink About0152 LAURIES LANE �o� l,.�ct.u-�-i es l,.,ac.n e �-- 1 i ,�i - f, Parcel Lookup - Parcels Page 1 of 1 ............................................. ................................. .._........................_.................................._...,.......................................-.................._-...._.-..__.......:..........._._......_......-................_........._................................ _._.__.......... m_...._._. Parcel(no dashes) Street no Street Village Owner name More Search Fields L auries Lane I ' Cotuit ........._....... I Reset Parcels Total Pages:1 Rows/Page:10 0` Parcel location Village Owner Index Map 027 120 C00 140 LAURIES LANE t-Cotuio. BARNSTABLE,TOWN OF(CON) 0875 027120000 0 mlV� 027-117-000 141 LAURIES LANE Cotuit GARDNER,KEITH J&RITA K 0875 027117C000 027 121 152 LAURIES LANE T Cotuit ANDERSON,PHILIP H&PHYLLIS A 0875 0271210 027-122 164 LAURIES LANE LCotuit} LEGER,JENNIFER M 0875 0271220 0 2018-Town of Barnstable- ParcelLookup LAURIES LANE,Cotuit,Marstons Mills-S.E.OFF AUDREYS LA TO CUL-DE-SAC' https://itsgldb;town.bamstable.ma.us:8407/ f 2/7/2020 t Lup .0 � € _ - z eou� 2 W N W =18L3°z 'I z in � In II N ( 1 �[ N PH I LLI P AN DER50N is Emig .5 W �52_ LAURIES_LANE g ��s 0 0 t08�`�4 0 (V 1\ANSTON -MILL5;�MA_-2648 �y . F z v 24' X 3 11.X 9' �� z w N Q aII g 'z .. DE51GN NOTE5 DE51GN CRITERIA DRAWING INDEX K0 H . � � 16 w m I. ALL CON5TRUCTION SHALL BE PROVIDED IN PREVAILING CODE: M58C 9th Edition;(IBC 2015) 1 ........COVER SHEET i;i a w _j w QQ ACCORDANCE WITH IBC 201 S. USE GROUP: U(CARPORTS,BARNS) 2 ........ELEVATIONS tL v A5CE 7-10,05NA,AI5C 3GO,-AI51 I W.AW5D 1.3 CONSTRUCTION TYPE: 11-B . o O zi' a o 0 CODES AND ALL APPLICABLE LOCAL REQUIREMENTS. F15KCATEGORY- 1 3.. FOUNDATION DETAILS V., 2. BASE CONNECTIONS SHALL B 4 ........FLOOR PLAN b DE TAILS PROVIDED A5 SHOWN w � <� C ON FOUNDATION DETAILS SHEET. I. DEAD LOAD(D) D = 2.0 PSF a''t-• 3. ALL MATERIALS IDENTIFIED BY MANUFACTURER NAME 2. ROOF LIVE LOAD(Lr) Lr=20 P5F 5........FRAME SECTION$DETAILS o m MAY BE SUBSTITUTED WITH MATERIAL EQUAL OR 3. SNOW LOAD(5) GA.......51DE WALL FRAMING v y a 1 t EXCEEDING ORIGINAL. GROUND SNOW LOAD Pg=30 PSF GB.......51DE WALL DETAILS CL IMPORTANCE FACTOR Is=0.80 r !. 4: ALL SHOP CONNECTIONS SHALL BE WELDED l THERMAL FACTOR CC = i.2 7A.......END WALL FRAMING CONNECTIONS. EXPOSURE FACTOR Cc = 1.0 O 5. ALL FIELD CONNECTIONS SHALL BE#12(1/4'X 19 ROOF SLOPE FACTOR Cr. = 1.0 78.......END WALL DETAILS A V (ESR-219G)OR APPROVED EQUAL FLAT ROOF SNOW LOAD Pf = 20 PSF G. STEEL SHEATHING SHALL BE 29GA. SLOPED ROOF SNOW LOAD Ps= 20 PSF W 4. WIND LOAD(W) CORRUGATED GALV.OR PAINTED STEEL-MAIN RID HT. BEAU DESIGN WIND SPEED Vult = 140 MPH � 3/4'(FY=80KSI)OR EQ. EXPOSURE C 7. ALL STRUCTURAL LIGHT GAUGE TUBING AND CHANNELS 5. SEISMIC.LOAD(E) v SHALL BE GRADE 50 GALV.STEEL. SD!%150 1 0.205/0.08!. N O F 4fq Ssq DE51GN CATEGORY B m P 8. STRUCTURAL TUBE T52 1/2'X2 1/2'- 14GA.15 W d' OMAR yG SITE CLA55 D 5PECIAL IN5PECTIONS � ABW-YASEIN EQUIVALENT TO T52 I/4'X2 1/4°- 12GA AND EITHER IMPORT_ANCE FACTOR Ic 1.00 NO SPECIAL INSPECTIONS ARE 01 CIVIL ONE MAY BE USED IN LIEU OF THE OTHER 4 REQUIRED FOR THI5 STRUCTURE,AS IT 9. 12GA IS DEFINED AS 0.109°THtCKNE55. 14GA 15 e s No.49232 DEFINED AS 0.083'THICKNES5. 2GGA 15 DEFINED AS LOAD COMBINATIONS: MEETS THE EXCEPTIONS OF SECTION °pQ �FG/STERN � I. D+M OR S) 1704 PER MSBC 9th Edition(IBC ��`rS/ANAL ENG\a 0.019'THICKNESS.29GA 15 DEFINED AS 0.015' 2015), 2. D+(O.GW OR t0.7E) THICKNE55. 3. D+0.75(O.GW OR±0.7E) +0.75(Lr ORS) UNLE55 EXPLICITLY REQUIRED BY THE ja� 4. O.GD+(O.GW OR t0.7E) BUILDING OFFICIAL. : EXPIRES:6130/2020 DATE SIGNED: DEC 18 2018 w w 0 O + Q � N 12 12 �. 13 N o 0 0 . cm �O w ,L h 4 a Q Q o m > — W � Zcm J O TOP OF CONC. TOP OF CONC. �}, 24'-O' 24 K-a N FRONT END WALL ELEVATION. BACK END WALL ELEVATION o SCALE:3/32': 1' SCALE:3/32': t' a z (L H m s v _ -W� UJI L uJ 0- w a o C -. N .r L 0 TOP OF CONC. / 30 "s. RIGHT 51DE WALL ELEVATION V SCALE:3/32': I' , - - - SEAL-IT 1111111111 119mm / .. j OF MAsa, �. OMAR tiG `T A U-YASEIN O a o CIVIL -74 o.49232 y �FG/STE�� TOP OF CONC. L ��ss/ONAI LEFT SIDE WALL ELEVATION SCALE:3/32•: r EXPIRES: 6/30/2620 DATE SIGNED: DEC 18`2018 MAMA BASE RAIL 2 114.50.X 12GA TUBE C!) W COLUMN POST 2 1141 SQ.X 12GA TUBE W e Z 5/6°0 X 7"F-XPAN51ON/WEDGE BOLTS coANCHOR W PER E5R-2526 WCD N FOUNDATION NOTES: COLUMN P05T cgv z ru w 1, MIN,SLAB 512E SHALL BE 24 0'X 30 0° ° In O p W _ _ 2. CONTROL JOINTS SHALL BE PLACED 50 A5 TO LIMIT MAX.SLAB SPANS ANCHOR ' MIN.4 OZ TO 20'IN EACH DIRECTION. EDGE DISTANCE. r- z 0 LLJ p 2 i/2'x2 1/2°x a Q ►0 3. CONCRETE ANCHORS SHALL BE LOCATED AS SHOWN ON THE 1/4'-3'LG.ANGLE Q FOUNDATION PLAN BELOW, CONCRETE O -MIN.4'THICK z Z 4. WHERE 2 OR MORE ANCHORS ARE REQUIRED IN CLOSE PROXIMITY, BASE RAIL n N MIN ANCHOR SPACING TO BE 4'BETWEEN ANCHORS. 5wi 0 O 5. MIN.EMBEDMENT DEPTH OF ANCHORS TO BE 4 3/6' GRADE W U N (EFFECTIVE EMBEDMENT 3.1009. 6X6-W2.0 X N p _ — G. ANCHORS TO BE SPACED NO MORE THAN G"FROM POSTS. W2.0 WWF OR O°` z Q W+ z 7. ALL ANCHORS TO BE A307 EQUIVALENT OR BETTER, 24 GCAR d 0 0- m B. ANCHORS TO BE INSTALLED PER MANUFACTURER'S REQ. 12 W 0O w W a Z+y 9. DEPTH OF SLAB TURN DOWN FOOTING SHALL BE GREATER THAN FR057 (3)#4 REBAR a o y a oa DEPTH SPECIFIED PER LOCAL CODE. CONT, O . 10.ASSUMED SOIL BEARING CAPACITY'15 TO BE A MIN.OF V 1500P5F. FOUNDATION DETAIL I 1.CONCRETE STRENGTH TO BE A MIN OF 2500 P51 @ 26 DAYS. SCALE: I/2': 1' I C { - ` o o@ 38 ( ] 3 A AA A I A A A A W A b ONTKOLLJJOINT— — I _ — —— — A �P�(H OF IVigssq N A I A OMAR �yG z ABU-YASEIN R, 0i /+ o CIVIL A No.49232 of ul Fss/ A A A A A A A ONAL 30'-O' FOUNDATION PLAN EXPIRES: 6130/2020 SCALE:3/32": V DATE SIGNED: DEC 18.2018 CD u_ LL, a o 4'-31" 3'-0'1'-2 t 4 SPACES Q 4'4'CC= 17'4' 4'-2' B I I Q ny z Q N W co w 2 4 z to �' -j}- — ,� X o c� z 0 co Q z p- o N N N N N O Z- 9 W ~ w N - W 3 _ _ 0. (V • 3 �` o 4 °Q b N - NL Opp 4 4'-2' ., 5 SPACES®4'-4'CC = 21'-8' 9 4'-2° 0 301-0' Ja p FLOOR PLAN r 300 SCALE: I/8': I' NOTE:SEE SHEET 3 FOR ANCHOR TYPE E MEMBER PROPERTIES V 5 _ W SEAL' DOOR/ DOUBLE COLUMN CORNER COLUMN DOOR POST COLUMN 4 N O F Mq S POST POST POST BASE sq BASE BASE BASE ANCHOR RAIL OMAR �yc ANCHOR RAIL ANCHOR RAIL RAIL ABU-YASEIN m ANCHOR CIVIL 4 No.49232 2 1/2'X 2 1/2'X 2 1/2'X 2 1/2°X 2 1/2'X 2 1/2"X 2 1/2'X 2 1/2'X 1/4'X 3'LG.ANGLE I/4°X 3'LG.ANGLE 1/4'X 3"LG.ANGLE 1/4'X 3'LG.ANGLE O �Fols re%�O ANCHOR DETAIL,/-1 ANCHOR DETAI D ANCHOR DETAI ANCHOR DETAIG �`�S/ONALSCALE=31&: I' 1 SCALE:318': 1' SCALE:3/W: 1' 50U:30: I' EXPIRES: 6/30/2020 DATE SIGNED: DEC 18,2018 COLUMN P05T 2 1/4'50.X 12GA TUBE 't r 12 PURLIN5 ROOF MEMBER 2 1/4°'50.X 12GA TUBE u.: ROOF SHEATHING- 31 ,A BASE RAIL 2 1/4.50.X 12GA TUBE w O _l SEE SCHEDULE FOR / PEAK BRACE, 2 1/4'50.X 12GA TUBE A <C Q to FASTENER REQUIREMENTS �/' KNEE BRACE 2 1/2°X !4GA CHANNEL } CONNECTOR SLEEVE 2'5Q.X 12GA TUBE U J PURLIN5 4•X 14GA HAT CHANNEL r r G°LG.CONNECTOR ROOF MEMBER — N SLEEVE FIELD, - � N Z BOLT E.5.W/(G) LOCATION CORNER PANEL 51DE LAPS EDGE LAPS EL5EWHERE Z = DRILLING 5CREW5 SPACING G#12X I*SELF 'CC MIN. 1 . 4°CC 9•CC z � O Z A5 5HOWN: 1 � FASTENER TYPE:M 12x I'SELF-DRILL 5CREW5 0 - (1) O p N KNEE BRACE-, (E5R-219G)W/NEOPRENE15TEEL WASHER (n ATTACH W/(2)#12 X SIDE WALL p U 1'TEK5 SCREW E.5. SHEATHING-SEE -i — F (4 TOTAL) SCHEDULE FOR 1 Z U I O SIDE WALL FASTENER ( ROOF MEMBER O SHEATHING-SEE I ICt N REQUIREMENTS J SCHEDULE FOR COLUMN POST . Lu FASTENER i G'LG.COLUMN 1 O G .. REQUIREMENTS SLEEVE-FIELD BOLT COLUMN W/(G)//12 X.1'TEKS BASE RAIL - P05T ¢ Z SCREWS AS SHOWN PEAK BRACE F W ATTACH W/ 10 ttj ` I ` WELD'X G'LG E.5. X O !i BASE DETAIL PEAK BRACE DETAILn FRAME DETAILD SCALE: I/2•: 1 O scALE= u2•= 1 v SCALE: 1/2': 1 C. Q $ . PEAK BRACE Q � 12 V 1 ROOF MEMBER _ 3: 29 3 1ao' W 5 BEAU �! - KNEE BRACE � I �SHOFAM4s OMAR AB -YASEIN CIVIL BASE RAIL I 2 I o.49232 ti A90�RFGISTER� Fss/ONAL ENG TOP OF CONC� 1. 2V-9 FRAME SECTION EXPIRES: 6/30/2020 SCALE:9/10: 1, DATE SIGNED: DEC 18 201 DIAGONAL BRACES 2 1/4'50.X 14GA TUBE !L PURLIN5 4'X 14GA HAT CHANNEL W N O CONNECTOR SLEEVE 2'50.X 12GA TUBE Z O BASE RAIL 2 1/4'50.X 12GA'TUBE g Ui 51DE WALL P05T 2 114'50.X 12GA TUBE U� z m N O Z N �. Z Iw O N LL. w cai Q L c Z� > O 4'-2' 5 5PACE5 Q 4'-4'CC= 211-8' 4'-2' 0 LU N PURLI W � CM Q M „ Z _ 2 Q g, Z 6B W W W ii. ui _ C COLUMN-,, POSTS � Q, '� • II 1 1 IC g BA5E RAIL 78 6B b r 3a-O' L � � O RIGHT SIDE WALL FRAMING &g SCAM: 1/& r o1@ LU 4'-2' 5 5PACE5 Q W-4'CC =2 I'-8' 4'-2° SEAL: PURLI 2 ELK0 MA.S �P S,9 OMAR nsG COLUM �� BU-YASEIN h+ P05T5 IVIL -- 6B a o.49232 �B m 4@� BASE RAIL 7B 6B 6B FSss/ONAL L t L 22'-81" 1 O` 4' 4L3 i LEFT SIDE WALL FRAMING EXPIRES: s130/2020 5CAlp: I/W: I' DATE SIGNED: DEC 18 2018 d- w_. wC 0 gQ w Q FOR SPACING SEE a � SHEATHING FASTENER g UI N 0 SCHEDULE N t- Z t( .� co x COLUMN P05T ' ATTACH PURLINS TO Z 0 N 6'SLEEVE WELDED TO a Q to BASE RAIL AND ROOF BEAMS W/(2) v _ BASE RAIL ATTACHED TO COLUMN FASTENERS O ap " POST WITH Q#12 GIRT/PURLINS • 505ASSHOWN GIRYPURLIN DETAIL o c SCALE: 1/2': I' O n Q N COLUMN-BASE DETAILn/ Q w z > - '^ m SCAIE= I/2'= I' W J W V, O !w- QQ O M NX Ix d O COLUMN P05T 2"X 2•X 2'X 18GA c CLIP ANGLE E.S. r. 9 DOOR! SECURE TO POST p WINDOW AND HEADER W/(4) �+ HEADER #12 TEK5 SD5 AS , SHOWN O a�. WINDOW DETAIL r O g scALE: ur= L' O V � m W SEAL DOOR P05T 2•X 2"X 2"X 18GA 4"X 2'X 18GA CLIP ANGLE E.5, FLAT CLIP E.S. SECURE TO POST SECURE TO P05T AND BASE RAIL W/ vIN OF mqS AND BASE RAIL W/ (4)#12 5D5 AS �P tv (4)#12 SD5 AS SHOWN 2•X 2'X 2•X 18GA Z� OMAR 0 DOOR/ CLIP ANGLE E.S. p, G SHOWN WINDOW SECURE TO POST ABU YASEIN m BASE RAIL POST AND DOOR HEADER IVIL �i W/(4)#12 505 AS ti: DOOR DETAIL O SHOWN o.49232 SCALE: 1/0 1' DOOR/ WINDOW FRAME Ts AL WINDOW DETAIL@) SCALE: 1/2'a 1' EXPIRE 6/30/9020 DATE SIGNED: DEC 18 2018 COLUMN POST 2 1/4'SQ.X 12GA TUBE �0 u-- ROOF MEMBER 2 1/4'50.X 12GA TUBELu NO BASE RAIL 2 1/4'SQ.X 12GA TUBE Z HEADER 2 1/4'50.X 12GA TUBE g g DOOR POST 2 1/4'SQ.X 12GA TUBE END WALL POSTS 2 1/4'5Q.X 12GA TUBE z DIAGONAL BRACES 2 1/4'5Q.X 14GATUBE a � — � N o � 0 Q 4°X 2°X.I eGA FLAT ROOF MEMBER v < .J_I CLIP.'5ECURETO p Q ROOF MEMBER AND — POST W/(4)#12 Z 505 AS 5HOWN' 2'X 2'X 2'X 18GA O Q N 2 3 CLIP ANGLE E.S. N SECURE 70 ROOF u i ~� 7A MEMBER AND P05T LU ` END WALL P05T SHOWN U COLUMN,,, 5 3 2 ROOF MEMBER DETAIV7-y W w uj a <Q 1 POSTS La 7B" 7B 7B t 5CAL51/21:'1' I p= H a Q G 0 Go - 4 , . - c LL 75 7B .� e -TOP OF CONC. 2'-0 9,-O° 2'=0 W-01 2'-0 �2 ` FRONT END WALL FRAMING 7A ` 0 5CAM: I/8': 1' CL g COLUMN SIDE WALL BASE RAIL I v POST 2°X 0 X 2'X 18GA r CUP ANGLE.'5ECURE ' TO POST AND BASE W RAIL W/(4)#12 5DS i 12 A5 SHOWN sennL 7A ,3 END WALL BASE RAIL CORNER DETAILO tv--o- TOP 5CAM 1/2'r 1' 2 S H 0 F Mq ssq �� WAR c9 C POSTS ` ABU-YASEIN m IVIL 2 4 YAS 7B °' .49232 i 6 r c�G/STE�� 7B 76 O sS�ONAI LNG\ OF CONC. 2 16'-O' 2'-O. REAR END WALL FRAMING 7 5CAM, I)W: I, EXPIRES: 6/30/2020 DATE SIGNED: DEC 18 2018 u- 2 1/2"X.2 1/2'X 14GA COLUMN/END 2 112°X 2 1/24 X 14GA W N _� ' 0 COLUMN/END -6'LG.SECURE 70 WAIL POST -G"LG.SECURE TO z Q Q 1D WALL POST POST 6 DIAGONAL POST 4 DIAGONAL g h BRACE W1(5)#12 DIAGONAL BRACE W/(5)#12 DIAGONAL 5D5 AS SHOWN BRACE . 5D5 AS SHOWN (� a BRACE HORIZONTAL — N 2"X 2"X 2$X 18GA $ BASE RAIL BRACE CUP ANGLE SECURE �] Z Z (V W t0 POST AND BRACE N 0 ap w W1(4)412 5D5 Z in+- LATTICE BRACE DETAIL LATTICE BRACE DETAIL - SCALP: 1/2': 1: 1 5CALEI 112' END WAIL POST Q —I c END WALL POST 2"X 2"X 2'X 18GA DOOR POST Q N ABOVE HEADER CLIP ANGLE E.S. 2'X 2°X 2"X 18GA a SECURE TO P05T CUP ANGLE.SECURE . — AND DOOR HEADER TO P05T AND BASE 4 X X 18GA FLAP Z CUP E.S.SECURE TO Q p, x W/(4)#12 5D5 AS RAIL W/(4)#12 5D5 . POST AND BASE'RAIL m tL SHOWN AS SHOWN W/(•7)#12 5D5 AS �Z�i SHOWN 3 Z = K K DOOR HEADER BASE RAIL O t/7 a O o • ABOVE HEADER DETAILS DOOR BASE DETAIL® t� SCALE: lie; I' `� SCALE: 1/2•11• C 2'X 2'X 2'X 18GA END WALL P05T CLIP ANGLE E.S. 2"X 2'X 2"X 18GA 0 SECURE t0 P057 CLIP ANGLE.SECURE END WALL AND HEADER W/(4) TO P05T AND BASE r O. o POST #12 5D5 AS / 0 RAIL W!(4)#12 SDS SHOWN A5 SHOWN BASE RAIL DOOR POST DOOR HEADER DOOR HEADER DETAILn COLUMN-BASE DETAILS W SCAM 1/2'I P SEAL: P�<N0FM,g0, 2"X 2•X 2"X 18GA END WALL POST 4"X 2•X 18GA CUP ANGLE E.S. 02 OMAR SG 2•X 2°X 2°X 18GA FLAT CLIP E.S. END W�AJLT_ SECURE 70 POST -Is ABU-YASEIN CUP ANGLE.SECURE SECURE TO P05T AND HEADER W)(4) 0 Cl IL -4 TO P05T AND BASE AND BASE RAIL W/ #12 505 AS SHOWN y RAIL W/(4)#12 5D5 (4)#12 5D5 AS 49232 A5 5HOWN SHOWN /STE��O\ q BASE RAIL DOOR HEADER /ONAL 0G DOOR BASE DETAILS DOOR HEADER DETAIV( SCALe: 1/2°I 5CALEI 1/2': 1' V EXPIRES: 6130/2020 DATE SIGNED: DEC 18 2018 Town of Barnstable Building Post°This Card So That it is Visible From the Street-A roved Plans Must be Retained on Job and this Card Must be'Kept Yl Iq III UaO I AW I. I f 'I' `�$ Posted Until Final Inspection Has Been RMade. Pey�y�l� ,rn<• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit lillll 1 Permit No. B-18-3706 Applicant Name: ANDERSON, ERIK P Approvals Date Issued: 12/11/2018 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 06/11/2019 Foundation: Residential Ma Lot: 027-121 Zoning District: RF Sheathing: p/ g g' Location: 152 LAURIES LANE,COTUIT _ ,. Contractor Name:, Framing: 1 Owner on Record: ANDERSON, ERIK P Contractor Licensed, 2 Address: 152 LAURIES LANE Est. Project Cost: $25,000.00 Chimney: MARSTONS MILLS, MA 02648 Permit Fee: $227.50 Description: 30'X24'GARAGE AND FOUNDATION Fee Paid $227.50 Insulation: Date: 12/11/2018' Final: Project Review Req: AS-BUILT REQUIRED FOR STRUCTURE UPON COMPLETION ` f !/ J' _____. Plumbing/Gas Rough Plumbing: _ Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized-,by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open fo`rpublic inspection for the entire duration of the Electrical work until the completion of the same. g Service: The Certificate of Occupancy will not be issued until all applicable signatures ey the Building and Fire Officials are'provided on_this permit. Minimum of Five Call Inspections Required for All Construction Work _ F Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection tow Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT p �. Applicafion Number....................... • + * ®� Fee. r , .v.......orheaF=.................... `1 Pemzid : .... �NOk� TotalFee Paid............. ........................................ ( ; 1 ..... ............on..........2 �.�. .._ STABLE PermicApprnvalby. .. �. TOWN OF BARN � BUILDING PERMIT ............. er: ... ... _ . - ....�:. � . ' .. .. �.............. APPLICATION Section 1—Owner's Information and Project Location Project Address G N e .�++ e ro Owners Name ode r ss 6 I� Owners Legal Address / Z L a v v % CS G H City t o �.; f State M Zip D 2 Owners Cell# �� `�- - 23� � 0 1 `� 5 E-mail r u a; 6 c u it u �; 1 7 4 FSection 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling, Section 3—Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ElChange of use . ❑ Demo/(entire stract are) ❑ Finish Basement ❑ Family/Amnesty- ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation Pool ❑ Insulation t Other—Specify Gt 4 �P Section 4-Work Description Ak . J r T Act nndabetE 2191MI 8 Application Number.......... ....................................... Section 5—Detail Cost of Proposed Construction 2 S� 060. Square Footage of Project 7 2 U s Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) s � 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ VVning E] Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ HeatingSystem 'yst El Chimney ❑Add/relocate bedroom Water Supply ❑ Public _ ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District R F Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Requiroda 0 Proposed Rear Yard Required S Proposed u Side Yard Required l 5 Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:2/92019 N W O F BARNSTA L a �� z ° aa� tu- 0 _ W 0 II- <w � 6 N W S�gO W� ,q� ''nn ~ C S O N V J PH I LLI P AN DERSON Ivis 10 n Barnstable Bldg. Dept. 2R a z Approved by: ____ '•f <s5 z O o 1 .52 LAURIE5.LANEQ J N5TON MILL5, MA 02648 HIM; IS v `Permit#; -- 0 24� X 3 1.1 X 91 ~ �� cm MUM 0 _ z fi � Q °z DESIGN NOTES '.: DESIGN CRITERIA. DRAWING INDEX' ono d w m I.. .ALL CONSTRUCTION SHALL BE PROVIDED IN' PREVAILING CODE: M5BC 9th Edition(IBC 2015) 1 ...COVER SHEET, t a w°m'z e � wrW- ACCORDANCE WITH IBC 2015, USE GROUP U(CARPOR75,'BARN5) ° y q Q p ASCE 7-1 O,OSHA,AISC 3GO,A151. I00,AWSD 1..3 CONSTRUCTION TYPE: 11-B 2 ..:. . ELEVATIONS. CODES AND ALL APPLICABLE'LOCAL REQUIREMENTS. RISK CATEGORY. 1 3 .. ..FOUNDATION DETAILS V 2., BASE CONNECTIONS SMALL BE PROVIDED AS-SHOWN PLAN DETAILS C �# _ 4 .. FLOOR e ON FOUNDATION DETAILS SHEET. ; I DEAD LOAD(D) D'_ 2:0 PSF3`" b ' 3: ALL MATERIALS IDENTIFIED BY MANUFACTURER NAME 2. ROOF LIVE-LOAD M) Lr=20 P5F 5 """" FRAME SECTION DETAILS' .' 3 SNOW LOAD(S) CA.......SIDE WALL FRAMING a MAY BE SUBSTITUTED WITH MATERIAL EQUAL OR Q ° GROUND SNOW LOAD P 30 P5F �EXCEEDWG ORIGINAL. 9 G5 .{.....SIDE WALL DETAILS a IMPORTANCE FACTOR Is=0.80 o -4. :ALL SHOP CONNECTIONS SHALL BE WELDED THERMAL FACTOR Ct V.2 _ . _ 7A.:.::.. END WALL FRAMING Q - 13 r CONNECTION5. EXPOSURE FACTOR ` Ce 1.0 i V 5. ALL FIELD CONNECTIONS SHALL BE#12(I/4 X I �_ ROOF SLOPE FACTOR Cs = I,.O 7 8.... ...END WALL DETAILS ��? 13 (E5R-219G)OR APPROVED EQUAL. i4: FLAT ROOF SNOW LOAD Pf= 20 PSF G. STEEL SHEATHING SHALL BE 29GA SLOPED ROOF SNOW LOAD Ps= 20 P5F 4. WIND LOAD(W) ;•CORRUGATED GALV.OR PAINTED STEEL-MAIN RIB HT." SEAL:_ DESIGN WIND SPEED Vult = 140 MPH _3/4'•(FY=8OK51)OR EQ.` EXPOSURE C 7 ALL STRUCTURAL LIGHT GAUGE TUBING AND CHANNELS 5. SEISMIC LOAD(E) 'a SHALL BE GRADE 50 GALV.STEEL. SDsJSD I 0.205/0.085 7° g P��H OF Mq SSq . .° DESIGN CATEGORY B P 8 STRUCTURAL TUBE 752 t/2 X2 I/2 14GA.19 g B oMAR ti D SPECIAL INSPECTIONS ��; N �EQUIVALEN7 TO TS2 i/4°X2'i/4°- i'2GAAND EITHER. 517E CLASS o ABU.YASEIN rn IMPORTANCE FACTOR le= 1.00 a { ONE MAY BE USED IN LIEU OF THE OTHER. NO SPECIAL INSPECTIONS AREA. E o CIVIL -+ REQUIRED FOR THIS STRUCTURE,AS IT s • ® o.49232 y 9. •12GA 15 DEFINED AS 0.109°THICKNESS. 14GA 15 51 o DEFINED AS 0:083°THICKNESS.26GA 15 DEFINED AS LOAD COMBINATIONS: MEETS THE EXCEPTIONS OF.SEGTION 0 �FOISTE�� D+(Lr OR S) 1704 PER MSBC 9th Edition(IBC IFS E�G`� 0.019°THICKNESS_.29GA I5 DEFINED A5 0.01.5° 2015),` S/ONAL 2. D+(0.6WOR±0.7E) -THICKNESS. 3. D+0.75(0.6W OR±-0.7E)+0.75(Ir OR 5) UNL.ES5 EXPLICITLY REQUIRED BY THE, g s 4. 0.GD'i (0,GW OR±0.7E) BUILDING OFFICIAL. s� d EXPIRES: 6/30/2020 DATE SIGNED: NOV 30 2018 w W O Q N g 12 12 R (n N Z Z ,_ cm n0 z0 ' m H Q J ll_1 TOP OF CONC. - TOP OF CONC. LLJ N 24'-O' 24'O° N FRONT END WALL ELEVATION BACK END WALL ELEVATION o SCALE:3/32': 1' SCALE:3/32': 1' Q 2 — m $ = u K K 4 0 0- rn a G C IL � 9 O a � TOP OF CONC. 4 JcIr / 0 a 30'-0' 9 f f RIGHT SIDE WALL ELEVATION V SCALE:3/32': I' W SEAU �KOFA4,q Ssq OMAR pyG ABU-YASEIN rt O N 0 . "00 CIVIcli No.49232 APp RFD/STERN TOP OF,CONC. IFS 3O,-0, S/ONAI EN , LEFT SIDE WALL ELEVATION SCALE:3/32': 1' EXPIRES: 6/30/2020 DATE SIGNED: NOV 30 2018 BASE RAIL 2 1/4'5Q.X 12GA TUBE COLUMN P05T 2 1/4'5Q.X 1 2GA TUBE N Q uj ANCHOR'A' 5/8"0 X 7'EXPANSION/WEDGE BOLTS- g < m PER E5R-252G N Lu co N 0 FOUNDATION NOTES: g (n N -1. MIN.SLAB SIZE SHALL BE 24'-O'X 30'-O' COLUMN POST O Q U.J to _ MIN.4° _ 2. CONTROL JOINTS SHALL BE PLACED 50 AS TO LIMIT MAX.SLAB SPANS ANCHOR p — Ir j Z EDGE DISTANCE F Z O 0 W 70 20'IN EACH DIRECTION. 2 1/2�°X 2 1/2'X � < - � 3. CONCRETE ANCHORS SHALL BE LOCATED AS SHOWN ON THE 1/4 -3 LG.ANGLE FOUNDATION PLAN BELOW. - CONCRETE SLAB U — 4. WHERE 2 OR MORE ANCHORS ARE REQUIRED IN CL05E PROXIMrrt, -MIN.4'THICK BASE RAIL Oz z Z NO MIN ANCHOR SPACING TO BE 4'BETWEEN ANCHORS. a, .• 0 O O (\ 5. MIN.EMBEDMENT DEPTH OF ANCHORS TO BE 4 3/8' GRADE W IL U N (EFFECTIVE EMBEDMENT 3.100'). GXG-W2.O XX a N W2.0 WWF OR �� J^ Z G. ANCHORS TO BE SPACED NO MORE THAN G'FROM POSTS. c� 7. ALL ANCHORS TO BE'A307 EQUIVALENT OR BEI IER. #3 REBAR @ O m 8. ANCHORS TO BE`IN5TALLED PER MANUFACTURERS REQ. 24"GC E.W. 12q a O w � 9. DEPTH OF SLAB TURN DOWN FOOTING SHALL BE GREATER THAN FROST (3)#4 U13AR w a Q G DEPTH SPECIFIED PER LOCAL CODE. CONT. p8p O � 10.A55UMED.501L BEARING CAPACITY 15 TO BE A MIN.OF 1500 P517. FOUNDATION DETAIL C I I .CONCRETE STRENGTH TO BE A MIN OF 2500 P51 @ 28 DAYS. SCALE: 1/2': 1' a o LJy v A A A A i A A A A A W SEAL CA ONTKOLJOINT I' VSH�FMASsq N A — — i — _ — OMAR c�a z A ABU-YASEIN m o� CIVIL . oJOc' �.49232 A, 10, A A A A O; �A- A A AA o�Fss/ANAL ENG\�4i L L �- 3O'-0' FOUNDATION PLAN EXPIRES: 6/3012020 SCALE:3/32': 1' DATE SIGNED: NOV 30 2018 u_ u.1 p O gQ v 30'-0' (j) O 4'-3 1- 3'-O'1'-2: 4 SPACE5® 4'-4'CC= 17'-4' 4'-2' uj oz U cu ` z z - Z c%ji $ N z N w � 0 to 0 N `L < ZQ z to 4 4 2 g -- co 9 — z o �I o oL U O N N N - - N Q J O Z c� o_ � m W- J W Lu J W � UI Q � O � i U) a o c 3 4 4-71 m a N ♦� n4 � 5 SPACE5 *-4'CC= 2 1'-&' 4'-2° , . a 30'-O' FLOOR PLAN O SCALE: 1/8': 1' NOTE:SEE 5HEET 3 FOR ANCHOR TYPE 4 MEMBER PROPERTIES u W DOUBLE CORNER DOOR/ COLUMN COLUMN DOOR P05T COLUMN ��H OF iy,g s PO5T P05T. POST BASE BASE BASE BASE ANCHOR RAIL OMAR ANCHOR RAIL ANCHOR RAIL RAIL BU-YASEIN ANCHOR_ IVIL -+ % No.49232 C 2 1/2'X 2 1/2'X 2 1/2°X 2 1/2'X 2 1/2'X 2 1/2'X 2 1/2'X 2 1/2'X o 1/4'X 3'L.G.ANGLE 1/4'X 3'L.G.ANGLE 1/4'X 3'I.G.ANGLE 1/4'X 3'LG.ANGLE �FG/STEREO ANCHOR DETAI ANCHOR DETAI ANCHOR DETAI ANCHOR DETAI ��Fss/oroAL �NG�a SCALE:30: 1' ( SCALD:3/6°: I' 2 5CAIE:30_ 1' SCALE:W: P EXPIRES: 6/30/2020 DATE SIGNeD: NOV 30 2018 t i - COLUMN P05T 2 1/4"5Q.X 12GA TUBE �d 12 PURLINS ROOF MEMBER 2 1/4'SQ.X 12GA TUBE u- ROOF SHEATHING- 9 M A8 BASE RAIL 2 1/4"5Q.X 12GA TUBE Z O O SEE SCH FASTENER �DULE FOR � PEAK BRACE 2 1/4'SQ.X 12GA TUBE g Q REQUIREMENTS KNEE BRACE 2 1/2'X 14GA CHANNEL }-- CONNECTOR SLEEVE 2'50.X 12GA TUBE G'LG CONNECTOR SLEEVE-FIELD ROOF MEMBER PURLINS 4'X 14GA HAT CHANNEL � N_ O BOLT E.S.W/.(G) z #12 X P SELF LOCATION CORNER PANEL SIDE LAPS EDGE LAPS ELSEWHERE N Z tj DRILLING SCREWS < r j SPACING G'CC MIN. I I 4"CC 9'CC 2 U) 0O z AS SHOWN I FASTENER TYPE:# 12x I"SELF-DRILL SCREWS O ' N O ' N KNEE BRACE- (E5R 219G)W/NEOPRENE/5TEEL WASHER Z < a ATTACH W/(2)#I 2 X SIDE WALL v I"TEKS SCREW E.S. SHEATHING-SEE I U 51DE WALL 1 (4 TOTAL) SCHEDULE FOR Z W O SHEATHING-SEE FASTENER. ( ROOF MEMBER 0 N REQUIREMENTS (f� SCHEDULE FOR 9 W N I COLUMN POST _ ` FASTENER I G"LG.COLUMN I w — REQUIREMENTS SLEEVE-FIELD BOLT < COLUMN 0 •• — W/(G)#12 X I"TEKS POST, Q z I SCREWS AS SHOWN _( BASE RAIL PEAK BRACE �j ATTACH W/ I/8' ru 3 w WELD X G"LG E.5. _ O � u=i a o c BASE DETAIL PEAK BRACE DETAIL/ : u2•: IF RAM E DETAIL 2A SCALE: 1/2': r IL 0 PEAK BRACE ) 30 12 ROOF MEMBER —13 x V d 3 10,-0" W t I - 5 - BEAU• - -- - KNEE BRACE OF M4,9 OMAR �yo ABU-YASEIN ,CIVIL -. BASE RAIL 2 " o.49232 y ` 5 S TOP OF CONC. /ONAL L � FRAME SECTION EXPIRES: 6/30/2020 SCALE:3/ G•: I' DATE SIGNED: NOV 30 2018 DIAGONAL BRACES 2 1/4'.'50.X 14GA TUBE' PURUNS 4'X !4GA HAT CHANNEL n1 O uj CONNECTOR SLEEVE 2'50.X 12GA TUBE Z BA5E RAIL 2 1/4'50.X 12GA TUBE SIDE WALL P05T 2 1/4'50.X 12GA TUBE23 23 � g � N Z t- w oL � y . P Q J o o Q co O 4'-2' 5 5PACE5 Q 4'-4'CC=2 1'-8' 4'-2' O �l-I N p � PURU W _� N z _ Z 2 Q GB rc w w �i. w IVCOLUM . 0 N a o O POSTS N BASE RAILLl 7B Gg b doom L 30'-0. O RIGHT SIDE WALL FRAMING y �`` / aS - 3 W 4'-2' 5 5PACE5.®4'-4'CC = 2 P-8' 4'-2' seau i i PURU ia MASsq �. OMAR 0 COLUM �• ABU-YASEIN m I P05T5 o CIVIL 4ca GB b a No.49232 4 A� NISTr�R� BA5E RAIL 78 6B GI6. SS/ONAL 22'-8 i^ 3'-O � EXPIRES: 6/30/2020 LEFT SIDE WALL FRAMING SCAM: 1/&: 1 DATE SIGNED: NOV 30 2018 - wo O gQ FOR SPACING SEE a SHEATHING FASTENER g N z SCHEDULE Z z (V ui F 2 _10 O _ COLUMN POST ' ATTACH PURUNS TO F Z G[ N G'SLEEVE WELDED TO Q, Q BASE'RAIL AND ROOF BEAMS W/(2) _ U ATTACHED TO COLUMN GIRT/PURLIN5 FASTENERS O u- ap BASE RAIL ' POST WITH(G)#12 5D5 AS SHOWN GI PT/PU RLI N DETAIL o .J-+ No SCALEI-1/2': I' O N Q COLUMN=BA5E DETAI Q W 2 SCAM- i/2•: r I w � w � o o' rA n� o c COLUMN.P05T 2'X 2'X 2'X 18GA G' CLIP ANGLE E.S. DOOR/ SECURE TO P05T b WINDOW AND HEADER W/(4) HEADER #12 TEKS SD5 AS ` SHOWN O ) r3 ,, WINDOW DETAIL SCAM-I/2': 1. O V n - W SEAL: DOOR POST 2'X 2'X 2'X I BGA 4'X 2'X 18GA CLIP ANGLE E.S. FLAT CLIP E.S. SECURE TO POST AND BASE RAIL W/ ��►OFMq SECURE TO POST S AND BASE RAIL W/ SHOWN 505 AS 2'X 2'X 2'X I&GA ��P OMAR 640 (4)#12 5D5 AS DOOR/ CLIP ANGLE E.5. G SHOWN WINDOW SECURE TO POST ABU-YASEIN BASE RAIL PO5T AND DOOR HEADER :o CIVIL y wi(a)#12 sDs AS No.49232 DOOR DETAIL O SHOWN Q- 3CAIE: 1/21: V DOOR/ pF FO'/STER tp�' WINDOW FRAME ASS/ONAL WINDOW DETAIL@) SCAIEI 1/2'I V EXPIRES: 6/30/2020 DATE SIGNED: NOV 30 2018 . COLUMN POST 2 1/4'SQ.X 12GA TUBE CD u- ROOF MEMBER 2 1/4'5Q.X 12GA TUBE 0.1 NO O BASE RAIL 2 1/4'SQ.X 12GA TUBE Z HEADER 2 1/4'50.X 12GA TUBE �( DOOR P05T 2 1/4'SQ.X 12GA TUBE END WALL PO5T5 2 1/4'5Q.X 12GA TUBE U 1 z DIAGONAL BRACES 2 1/4°5Q.X 14GA TUBE N g � c� Z z � o a�C pq _ y In 4'X 2'X I&GAFLAT U Q -ROOF MEMBER - CLIP.SECURE TO 0 Q ap ROOF MEMBER AND - P05T W/(4)#12 Z O 5D5 AS SHOWN " 2'X 2'X V X 18GA 12 iz� 1 —13 CLIP ANGLE E.S. N SECURE TO ROOF W Z _� 7A MEMBER AND POST W END WALL POST W/(4)#12 SDS A5 Q _ - SHOWN I u aD COLUMN,, s s 2 ROOF MEMBER DETAI W J w o k' POSTS 7B 7B 7Bk SCALE: 1/2's 1' �s = x� O o.. rn a c t,• 4 i _ C 7B 7BTOP OF CONC:�2'-O 9'O' zi_O 9j_Oe 0 0 FRONT END WALL FRAMING 0.0 - SCALE: IV: 1' 3 COLUMN SIDE WALL BASE RAIL POST t ' 2'X 2"X 2°X 18GA `/ g CLIP ANGLE.SECURE W TO P05T AND BASE RAIL W/(4)#12 SDS 1 12 END WALL A5 SHOWN SEAL: 7 --1.3 BASE RAIL CORNER DETAILO SCALE- I/2': I' �SNOFtWga6, �. OMAR tie, COLUM ABLI-YASEIN 0 P05T5 e q o CIVIL ti °' o.49232 6 ST � 4.. 7B �FSS/ONAL ENG TOP OF CONC 24'-0' 2 7A REAR END WALL FRAMING EXPIRES: 6/30/2020 Sip:1/8.: V DATE SIGNED: NOV 30 2016 ap � N J 0 g uj tton u- 2 1/2'X 2 1/2'X 14GA COLUMNIEND 2 1/2'X 2 1/2'X 14GA IL/ q Q COLUMN END -6'LG.SECURE TO WALL POST. _6'LG.5ECURE'TO _ V1 N 0 WALL POST POST 4 DIAGONAL PO5T.¢DIAGONAL N u BRACE W/(5)#12 DIAGONAL BRACE W/(S)N 12 N Q Lu DIAGONAL SD5 AS SHOWN BRACE SDS AS SHOWN Z U) BRACE .. O — to H HORIZONTAL 2'X 2'X 2'X 18GA Q Q Q O BASE RAIL BRACE CUP ANGLE SECURE (L/ — TO POST AND BRACE )j _ W/(4)#12 5D5 z O . LATTICE BRACE DETAIL LATTICE BRACE DETAIL O _! N SCALE: I/2 1 9CALP: 1/r: 1' O Q N z UJ END WALL P05T Z = o� Q END WALL P05T 2'X 2'X 2'X 18GA DOOR POST O Q- w a C G ABOVE HEADER CUP ANGLE E.S. 2'X 2'X 2'X 18GA • SECURE TO POST CUP ANGLE.SECURE V AND DOOR HEADER TO POST AND BASE 4'X 4'X 18GA.FLAT W/(4)#12 5D5 AS RAIL W/(4)#12 5D5 CUP E.S.SECURE AI C SHOWN A5 SHOWN POST AND BASE RAIL W/(7)#12 SDS AS SHOWN DOOR HEADER BASE RAIL 0 e ABOVE HEADER DETAI DOOR BASE DETAIL a SCNY: 1/2' 1' SCAIPr l/r:9' O Jr3 V1� Wg BEAU 2'X 2'X 2°X 18GA END WALL P05T CUP ANGLE E.S. 2'X 2'X 2'X 18GA SECURE TO P05T CLIP ANGLE.SECURE OF M ENO WALL AND HEADER W/(4) TO POST AND BASE ASS POST #12 SD5 AS RAIL W/(4)#!2 SDS �� 9�y SHOWN AS SHOWN o`er' OMAR G BASE RAIL ABU-YASEIN o ,OeCIVIL y DOOR POST DOOR HEADER 0.49Z32 DOOR HEADER DETAIL("� COLUMN-BASE DETAIL, '�F-/sT��`�° SCALE: 1/r: V SCALP: I/r, V b FSS/ONAL LNG EXPIRES: 6/30/2020 DATE SIGNED: NOV 30 2018 Carter, Jeff From: Carter, Jeff Sent: Monday, December 10, 2018 8:13.AM To: 'RADIOGURUPHIL@YAHOO.COM' Subject: Permit/Application:TB-18-3706 at 152 LAURIES LANE, COTUIT for Building - Detached Accessory Structure - Residential Good Morning, I have reviewed your most recent documentation that was submitted to accompany Permit#TB-18-3706. With the choice to use a slab on grade with a monolithic turned-down footing an additional Geotechnical Evaluation.is required to confirm soil bearing capacity. Another option would be to provide an amended plan that shows the use of.a masonry stem wall with appropriate sized footing that extends 4' below grade for frost protection. Feel free to contact if you have any question regarding this request. Thank you, Jeff Carter Locallnspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 1 The Commonwealth of Massachusetts Department of Industrial Accidents - -- _ Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): Address: L GCe v✓ S. �-C1 ca— City/State/Z - v%7� 6 z 44� Phone#: -2 7 4` G Are you an employer?Check the appropriate ox: Type of project(required): 1.❑ I am a employer with 4 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑,New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp,insurance comp.insurance.$ required:] ° 5. ❑ We are a corporation and its _ 10,❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §](4),and we have no 13.❑Other employees. [No workers' comp. insurance required.] , *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: l b5 L G v✓ 0 LG d`� City/State/Zip:6 if, f 1� (�2- ��S/ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepaitts and penalties of perjury that the information provided above is true and correct Sianafore: Date: Phone#: G l q L! Official use only. Do not write in this area,to be completed by city or town offzciaC City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: �s , The Commonwealth.of Massachusetts Department,of Industrial.Accidents Office of Investigations 600 Washington,Street Boston, MA 0211.1 Tel. ##617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 w.mass.gav/dia i ACORN® CERTIFICATE OF LIABILITY INSURANCE DA,E(MMID°' ' 10/31/18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Regional Insurance Agency,Inc PHONE • 508-586-9812 F C No): 508.580-1694 95 Torrey St E-MAIL Brockton,MA 02301 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL S INSURER A: Commerce Insurance Company INSURED INSURER B P&D Concrete Const Company INSURER C: Richard Pease 8 Suzanne Drive INSURER D Assonet,Ma 02702 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMM MMID UNITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ Z,000,OOO CLAIMSMADE OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP one $ 5,000 A 8008030010639 11/20/17 11/20/18 PERSONAL BADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY❑j CT LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ 100,000 A OWNED X SCHEDULED BCWZNT 04114118 04/14/19 BODILY INJURY Per aociderd) $ 300,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 100,000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOY $ ff yes,describe under DESCRIPTION OF OPERATIONS below E-L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Add Wonal Remarks Schedule;mW be attached H more space is required) Email:Radioquruphiiftahoo.com CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN Phil Anderson ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Savannah Wallace 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and fogo are registered marks of ACORD The Commonwealth of Massachusetts ' Department of Indu&1alAccidenis MW Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/IndividvaI) •� �� ' �?IrIC /v ` Address: .d � C dJ City/State/Zip: dZL--zQaZD� Phone Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. [ ].New constriction 2:[-I am a sole proprietor or partner- listed an the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ 9• �Building addition required.] 5. F1 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myselt [No workers'comp. right of exemption per MGL 12.[]Roof repair insurance required]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is pro v' ' orkers'compensation insurance for my employees Below is the policy and job site information. ✓- ^ Insurance Company Name: Policy#or Self-ins.Lic.#: 9D6 SODYv Expiration Date: 111 / Job Site Address: / S`�� City/State/Zip: �i� 0/-/[ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un the pains penalties of pedury that the information provided above is true and correct. Signafore: ✓ Date: v Phone#: L�' Offccial use only. Do not write in this area,to be completed by city or town official City or Town: PermifMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a,joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building apptutenant thereto shall not because of such employment be deemed to be an employer." MOL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MOL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to-your situation and,if necessary,supply sub-cantractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(I LC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cagy workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should writs"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of ladt.sf ng AmAdentS Office of Investigataaas 600 Washington Beet Roston,MA 02111 Tel.#617-727-4900 ext 406 of 1-M-MA.SSAFF, Fax##617-727-7749 Revised 4-24-07 V4WWM s,gav/din DATE(MMIDDJYYYY) CERTIFICATE OF LIABILITY INSURANCE 11/05/2018 THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed.If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ALLAN M WALKER 8r CO INC NAME 08089053 PHHOON�E �� (866)467-8730 (�No) (888)443-6112 PO BOX 1057 E-MAIL TAUNTON MA02780 ADDRESS: INSURER(S)AFFORDING COVERAGE NAILS INSURER A: Hartford Ins Co of the Midwest 37478 INSURED INSURER B: NEW ENGLAND GRAVEL DBA NEW ENGLAND, INSURERC: OUTDOOR INSURER 0: 38-42 WINTHROP ST INSURER E: REHOBOTH MA 02769-2653 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL Sue POLICY NUMBER POLICY EFF POLICY EXP LIMITS LT IN MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED PREMISES(Eacccurrem) LIED EXP(Any one person) PERSONAL&ADV INJURY GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑PRO.❑LOC PRODUCTS-COMPIOPAGG JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) _ ANYAUTO BODILY INJURY(Per person) ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS L)AB CLAIM&MADE AGGREGATE DED RETENTION S WORKERS COMPENSATION PER OTH. AND EMPLOYER S'LUU3W X TY STATURE I E ANY PROPRIETORlPARTNERIEXECUTNE YIN E.I.EACH ACCIDENT $100,00 A OFFICER/MEMBER EXCLUDED? NIA 08 WEC CM0613 02/15/2018 02/15/2019 (Mandatory In NH) F E L DISEASE-EA EMPLOYEE $100,00 It yes,describe under $500,00 DESCRIPTION F OPERATIONS be E L.DISEASE-POLICY LIMIT DESCRIP770MOFOPERA770ALS/LOCAT10NS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached If more space Is.required]) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION PHIL ANDERSON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 152 LAURIES LN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MARSTONS MILLS MA 02648-1607 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD FROM CTUE)N0V 6 2010 12:47/ST-12:46/No.930902564E P 1 ACo CERTIFICATE OF LIABILITY INSURANCE °*'t`M" Y' ��- 1u5rzols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poliey(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAUT NAME Paul Shannon Shannon Insurance,LLC PKONE 508-643-9500 ` Nef.508-315 4085 429 South Washington Street ED"D"` shannon.lnsurance@gmail.com North Attleborough,MA 02760 INSUR s AFFORDING COVERAGE NwC.a wsuRmA:Uberty Mutual Insurance Company INSURED INSURER B: New England Outdoor INSURERC: New England Gravel Haulers INSURER D: 3842 Winthrop Street INSURER E: Rehoboth Ma 02769 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �N TYPE OF INSURANCE A POLICY NUAWN M to °XP LIMITS A X coN�aERcwLaENERALLuurluTr A BLS58844795 5/18/2018 5/18/2019 EACHOCCURRENCE S 1,000,000 CtA1MAS•MMOE :OCCUR PREMISES �e S100.000 MED EXP(Any ant person) S 10,000 PERSONAL a ADV INJURY s 1.000.000 TGEWLAGGREGATEMITAPPLIESPR: GENRALGREGTE S 2,000,000 ICY lOC PROOUC75•COMPIOPAGG S 2,000,000aJM S ER AUTOMOBILELJ4e1UTY COMBINED SINGLE LIMIT s (Ea aeti/anl) ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per ecadera) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY H AUTOS ONLY s UMBRELLAUAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S 0£D I RETENTIONSPr S MRKERS COkIPENSATION STATUTE AND EMPLOYERS'LIABILITY YIN ANYPROPMETORIPARTNENEXECUT[W E.L EACH ACCIDENT S OFFICERI►AEMBEREtCLUDED? MIA --1 (Myyanndstory in NH) E.L.DISEASE-EA EMPLOYEE S DESCRIPTIOdosaN OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES'tACORO 101,AddlKonal'Remarks SctwduM,may be attachad If mom apace Is mquh") CERTIFICATE HOLDER CANCELLATION Phil Anderson SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 152 Lauries Lane THE E (RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Marston Mills MA'02648 A D WITH THE POLICY PROVISIONS. UTK0M EDRFP ENTATArE _4rf"1AZZ='f ©f 2015 ACORD C PORAT_ION. All rights reserved. ACORD 25(20 GM31) The ACORD name and logo are registe marks f ACORD The Commonwealth of Masyachmeft Deparhumt of Indush-hd iecideerb Office oflriva*adons ' 600 Washington Street Boston,MA 02111 www.mamgov/dia Workers'Compensation Insurance Affidavit:Bwlders/ContractorsMectricians/PIlambeirs Applicant Information Please Print Leg;Lbly NTame(Business 0rpdzafioWUdM&a0:_ fe-01:> 0 51- S Address:. 49, W(rjThf(z0 P Z>T Pity/State/Zip: MA � LR Phone Are you an employer?Check the appropriate bow Type of project(required): 1)KI am a employees with -?- . 4. I am a general contractor and I employees(fall and/or part-*me)-* have lined the sub-cad f ractnrs 6- El New shn ou 2.❑ 1 am a sole proprietor or partner- listed art the attached sheet. 7. ❑Rtmzod ling ship and have no employees Thm have 8. ❑Demolition woAtg for me im any capacity- employers andhave workers' 9. j]Building addition [No workers'comp.insurance :comp.insmancet required.] 5. We are a c orpaaafion and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repass or additions myself No workers'comp. right of exemption per MOL Roaf 12• insurance rec�ed.l t c-152,§1(4�),and we have no 0 �� 13.(]Other employ=.[No workers' comp,insurance rapfiv&} Any app$cant that cbecks box al mast also fill out tine section below§bowing ibca workers'co4=Mdpn policy h&rmaboa• t HomeAwoets who s6nft this affidavit indicating they ate doing all work and then him outside contactors must snbm it a new afaduft f f=ting sub. �Conbucturs that check this box must attached an additional sbed showing the none of the sub-contacts and sfiftvVbcda or not those entities bane cmpioyees. Tf be sub•eomracmrs have employees,they must ptnvide their workers'comp.Policy tnnbM I am an employer that isprat►iding workers'compensation insurance for my employeeL Below is thepoTuy and job site imformra8an. 1 ' Insurance Companyl�7asne: {t 9--3) ) 5 E"I,cCRwr.�r Policy#or Self-ins.Lim Ir: Cam_. to i C-M! (c f�3 Expir&on Date: a f i Sh4 d i. 9 Job$ite Address: 5 a L. }v -1 5 �- cay/S`tatarZ S`� Is ,lam!(,C,S, 14 u Attach a copy of the workers'compensation policy declaration page(showing the policy nwaber and expiration date). Failure to sw=coverage as required muter Section 25A of MG'L c.152 can leadto ihe imposition of caimi aal penalties of a fine tip to$1,500.00 and/or one-year imprisomtent,as well as civil penalties inihe form of a STOP WORK ORDER and a fine of up to$250.00 a day against$re violator. Be advised that a copy of this statement may be forwarded to the Office of Investigafions of the DIA for insurance coverage yerifieWiom. I do hereby certify under the pains and penalties of perjury ilia!the inforrm ion provided above is true and correct Signature: Date: I1 rc. l Phone 4: Offidd use only. Do not write in this area to be completed by city or town o,}icial City or Town: Periani tIl icense# Lssaang Authority(circle one): 1.Board of EleaM 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PImmbing Inspector. 6.Other ContactPerson: Phone#: The Commonwealth of Massachusetts Department of Inda&1alAccidenis Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ( Please Print Legibly Name(Business/Orgmdzatioulbdividual): ��IJ ��( VCR.}l D n Address: -e r-C City/State/Zip: —t oce 5t-dDL e Phone#: 1J0 8 = .'�1 �1-U�o � Are you an employer?Check the appropriate bow 1.El am a employer with 4. I am a general contractor and I TyPa of Project(required): employees(full and/or part-time).* have hired the sub-contractors 6. kNew construction. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity. employees and have workers' ' omp•incrrrance.� 9. ❑Building addition [No workers comp.insurance required..] 5.�e are a corporation and its 10.0 Electrical repairs or additions .3.❑ officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions right of exemption per MGL myself[No workers comp. p p 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required.] *Airy applicant that checks box#l must also fill,out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those an ities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. W G 5 315 Insurance Company Name: H0XLeV-sVWLt v"L +L) 12 D 15 T� Policy#or Self-ins,Lie.#: 5PpD1 5 06 2T Expiration Date: 9 Job Site Address: 162, j..Cwc'iC S �.(.� City/State/Zip: (� 5 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of crmnmal penalties of a fine up to$1,500.00 and/or one-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si atme: Date: t Phone Offccial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grotmds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or perinit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. L n ted Liability Companies a-LC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nimmber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a,space at the bottom of the affidavit for yoti to fill out in the event the'Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pennit/license number which will be used as a reference number. In addition, an applicant that most submifmultiple permit(license applications in any given year,need'only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all,-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for f :re permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, The Department's address,telephone and fax number. ' The Cammonwealth of Massachusetts , Deptu went of TndosUW Ac Adents Office of Liyestiptiew 6M Washington Stet Bosun,MA 02111 TeL#617-727-49N wd 406 or 1-$ -M SSSAFE Fax# 617-727-7749 Revised 4-24-07 VVIWW.Ma gav/dia Carter, Jeff From: Carter, Jeff Sent: Tuesday, November 13, 2018 4:09 PM To: radioguruphil@yahoo.com' Subject: Permit/Application:TB718-3706 at 152 LAURIES LANE, COTUIT for Building - Detached Accessory Structure Residential' Please be advised,that at the current'time we have denied your'permit request for 152 Lauries Lane, application number TB-18-3706 for the following reason. 1) R301.2.1.1 Wind Limitations and Wind Design Requirements—.Structures in the Town of Barnstable are req.uired.to be designed for an Ultimate Design Wind Speed 140mph/Nominal Design Wind Speed 108mph. The plan that Was submitted,is designed for a nominal design wind speed of 81mph. If you would like to proceed with this permit request please submit the required documentation showing that the structure is designed to meet-the above wind requirements. And, if aggrieved by this notice and order; to show cause to why you are not in violation,you may file a Notice of Appeal (specifying the ground thereof) with the State Building Appeals Board within forty-five(45)days ofthe receipt of this notice. - . Respectfully. Jeff Carter .local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA-02601' 508 862-4035 TABLE OF CONTENTS GENERAL NOTES PAGE 1 TYPICAL ELEVATIONS W/ HORZ. PANELS (BOX EAVE) PAGE 2 TYPICAL ELEVATIONS W/ VERT, PANELS (BOX EAVE) PAGE 3 TYPICAL ELEVATIONS (BOW FRAME) PAGE 4 VERTICAL PANEL CONNECTION DETAILS PAGE 5 INTERIOR FRAME SECTIONS (BOX EAVE) PAGE 6 ,INTERIOR FRAME AND SIDE FRAME SECTIONS PAGE 7 INTERI❑R FRAME SECTIONS (B❑W FRAME) PAGE 8 INTERIOR FRAME SECTIONS CONT. (BOW FRAME) PAGE 9 END WALL FRAMING ELEVATI❑NS (ALL TYPES) PAGE 10 SIDE WALL OPENING FRAMING DETAILS CALL TYPES) PAGE 11 INTERIOR FRAME CORNER DETAILS (BOX EAVE) PAGE 12 INTERIOR FRAME CORNER DETAILS <BOW FRAME) PAGE 13 C❑NNECTION AND BASE DETAILS (ALL TYPES) PAGE 14 LEAN-TO OPTI❑NS UP TO 12' WIDE (BOX EAVE) PAGE 15 LEAN-T❑ OPTIONS 12' TO 15' WIDE (BOX EAVE) PAGE 16 LEAN-TO FRAME CORNER DETAILS (BOX EAVE) PAGE 17 LEAN-TO ❑PTI❑N (BOW FRAME) PAGE 18 CONCRETE SLAB ANCH❑RAGE DETAILS PAGE 19 HELICAL SOIL ANCHORAGE DETAILS PAGE 20 DRAWN BY: ART EB CARPORTS & TABLE OF CONTENTS DATE: MAY 201 METAL STRUCTURES, INC. ALL TYPES SCALE- NTS DESIGN PARAMETERS - DESIGN PACKAGE INTENDED FOR ENCLOSED STRUCTURES WITH MAXIMUM WIDTH OF 30 FEET AND MAXIMUM EAVE HEIGHT OF 14 FEET. - DESIGN IN ACCORDANCE WITH 2O15 INTERNATIONAL BUILDING CODE. - DESIGN LOADS: DEAD LOAD = 15 PSF LIVE LOAD = 12 PSF GROUND SNOW LOAD = 65 PSF MAXIMUM WIND SPEED = 105 MPH NOMINAL WIND SPEED = 81 MPH LOW HAZARD RISK CATEGORY I - WIND EXPOSURE CATEGORIES B OR C MATERIAL SPECIFICATIONS - STEEL TUBE FRAMING MEMBERS ARE 24' x 21' x 12 GAUGE - STEEL CHANNEL KNEE BRACES ARE 18 GAUGE - STEEL TUBE COLUMN REINF❑RCING MEMBERS ARE 2' x 2' x 14 GAUGE ALL WELDS ARE DONE IN FABRICATION SHOP, ONLY FIELD CONNECTIONS ARE SCREW TYPE FASTENERS. ROOF AND WALL SHEATHING ARE 29 GAUGE METAL CORRUGATED PANELS - FASTENERS ARE #12-14 x J' SELF-DRILLING FASTENER (SDF) WITH CONTROL SEAL WASHER ON ALL EXTERIOR FACES - MAXIMUM FASTENER SPACING SHALL BE 10' UNLESS OTHERWISE NOTED - GROUND ANCHORAGE: SEE GROUND ANCHORAGE DETAIL SHEETS DRAWN BY: ART EB CARPORTS & GENERAL NOTES AND SPECIFICATIONS DATE: MAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS PAGE I LENGTH VARIES GALV. METAL R❑OF AND WALL PANELS (29 GA.) ATTACHED TO FRAMING TUBES HORIZ. PLACEMENT 6' TYP. LWINDOW SIDE ELEVATION - TYPICAL TRIM ROLLUP DOOR SWINGING DOOR 30'-0' MAXIMUM SPAN END ELEVATION - TYPICAL DRAWN BY: ART EB CARPORTS & TYPICAL ELEVATIONS W/ HORZ. PANELS DATE; MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 2 ADAM TADDONIO t toF NEW ' / � c / t' F9MODE�8�h R.TAp�oy�.p� oo. GJ►= No. 12232 * Q o * � �• * � s tau _ HOPE off. 2a47so REGISTERED yJ' 093453 I /CENSE. '\ PROFESSIONAL ENGINEER FAA (CIVIL) R�FESSI�NP '4rpn� 01. le If#jill. • pNOFMgss �� ►�..• •..�y Zvi No 84472 ADAM R. �: •' TADDONO =y Q CCOS *: ;fir I_ e CIVIL cl) ^0: No.54170-53 •. STATE OF •:'IE4 A0 !"0 . $008 h .•''�2� O':. O R1p•.•�\�� FSS�ONAIENC' s/QNA k-f'�C-0``` . ONAI-0�%%% . .... ADAM R. TADDONIO, P.E. 49 OLD WILLIMANTIC RD, COLUMBIA, CT 06237 BUILDING D PT DRAWN BY, ART EB CARPORTS & PE SEALS AND SIGNATURESNOV OR 8 DATEi MAY 2018 METAL STRUCTURES, INC. SCALES NTS T-OWNOPSAH1 TABLE LENGTH VARIES GALV. METAL ROOF AND WALL PANELS (29 GA.) VERTICAL o PLACEMENT (SEE DETAIL SHEET) o WIND❑W SIDE ELEVATION - TYPICAL TRIM R❑LLUP DOOR SWINGING DOOR END ELEVATION - TYPICAL DRAWN BY: ART EB CARPORTS & TYPICAL ELEVATIONS W/ VERTICAL PANELS DATE: MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 3 r NE 1 • � 1 30'-0' MAXIMUM SPAN END ELEVATION TYPICAL DRAWN BY. ART I 1 TYPICAL • • ®METAL 1 • 1 - I 6, FR❑M BASE 1'-18 HAT VERTICAL FRAMING END ELEVATION CHANNELUGE SPACED AT 48' MAXIMUM 6' FROM EAVE 48' 6' FR❑M BASE VERTICAL FRAMING SIDE ELEVATION 1'-18 GAUGE HAT TYP. FASTENER, CHANNEL PANEL T❑ CHANNEL CORRUGATED PANEL (ROOF OR WALL) 2 FASTENERS, FRAME MEMBER CHANNEL TO FRAME HAT CHANNEL CONNECTION DETAIL DRAWN BY: ART EB . CARPORTS & VERTICAL PANEL CONNECTION DETAILS DATE: MAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS FPAGE 5 U CHANNEL BRACE (18 GA.) ATTACHED TUBE RAFTER WITH 2 FASTENERS AT EACH END AND EACH SIDE (8 TOTAL) 12 � 2' � Q3 SEE CORNER DETAIL 1 x X►0 aw xx o Z I v J .,o U SEE BASE DETAIL 1 FINISH GRADE 12' MAX SPAN FRAME SECTION TUBE RAFTER TIE SHOP WELDED SHOP WELDED 12 J3 4'-0' FOR 12'-20' SPAN 6'-0' FOR 20'-24' SPAN SEE CORNER DETAIL 2 x X0 Z x O Z I � �J ' O U SEE BASE DETAIL 1 FINISH GRADE 12' - 24' SPAN FRAME SECTION DRAWN BY: ART EB CARPORTS & INTERIOR FRAME SECTIONS DATE: MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 6 VERTICAL TUBE BRACE SHOP WELDED (TYP.) SHOP WELDED 12 Q3 SEE CORNER 16'-0' FOR 26' SPAN 18'-0' FOR 28' SPAN DETAIL 2 1- 20'-0' FOR 30' SPAN X aw oZ d.J U - SEE BASE DETAIL 1 FINISH GRADE 26' . - 30' SPAN FRAME SECTION STRUCTURE LENGTH VARIES 48' MAXIMUM SPACING X L3 oz 't J . 'p U SEE BASE DETAIL 2 TUBE BOTTOM RAIL FINISH GRADE TYPICAL SIDE FRAMING ELEVATION (ALL SPANS) DRAWN BY- ART EB CARPORTS & INTERIOR AND SIDE FRAME SECTIONS DATE: MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE! NTS PAGE 7 I a. t _ {, � -- '.- t `• _ _ ..�. ter.. .r J... ,. ._ ._. — ..�..R. � -. _- r_'� { c s 1 Yt t U CHANNEL BRACE (18 GA.) ATTACHED TUBE RAFTER WITH 2 FASTENERS AT EACH END AND EACH SIDE (8 TOTAL) 2' Q3 SEE• CORNER DETAIL 3 X� Qw x:_ o£ �J O U SEE BASE DETAIL 1 - r FINISH GRADE 12' MAX P SPAN FRAME SECTION TUBE RAFTER TIE SHOP WELDED SHOP WELDED -J�13 FOR 12'-20' SPAN 6'-0' FOR 20'-24' SPAN SEE CORNER DETAIL 4 QW 5 �J U SEE BASE DETAIL T FINISH GRADE 12' - 24' SPAN FRAME SECTION DRAWN BY: ART EB CARPORTS & INTERIOR FRAME SECTIONS DATE: MAY 2018 METAL STRUCTURES, INC. BOW FRAME SCALE: NTS PAGE 8 VERTICAL TUBE BRACE SHOP WELDED CTYP.> SHOP WELDED 12 Q3 16'-0- F❑R 26' SPAN SEE CORNER 18'-0' FOR 28' SPAN DETAIL 4 20'-0' FOR 30' SPAN X�. aw X_ oZ d'J .�C3 U SEE BASE DETAIL 1 FINISH GRADE 26' - 30' SPAN FRAME SECTION DRAWN BY: ART EB CARPORTS & INTERIOR FRAME SECTIONS DATE: MAY 201 METAL STRUCTURES, INC. BOW FRAME SCALE: NTS FPAGE 9 VERTICAL SEE CONNECTION TUBE MEMBERS DETAIL 1 48' TYP. SPACING SEE BASE SEE CONNECTION DETAIL 2 DETAIL 1 REAR WALL FRAMING ELEVATION DETAILS APPLY F❑R BOX EAVE 2' x 2' x 2' (14 GAUGE) OR BOW FRAME ANGLE CLIP WITH 2 FASTENERS STRUCTURE TYPES IN EACH LEG, 4 TOTAL. SEE CONNECTION DETAIL 2 R❑LLUP DOOR 20'-0' MAXIMUM (N❑ STRUCTURAL HEADER) USE 6' WELDED SLEEVE CONNECTION AT ANY WALL OPENING FRAMING MEMBERS TUBE BASE RAIL FULL PERIMETER DOORWAY EXCEPT AT R❑LLUP DOOR OPENING FRONT WALL FRAMING ELEVATION DRAWN BY: ART EB CARPORTS & END WALL FRAMING ELEVATIONS DATE: MAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS I PAGE 10 EXTEND HEADER T❑ CLOSEST FRAME COLUMNS AND ADD EXTRA COLUMNS TO CREATE CLEAR OPENING AS SHOWN TYPICAL WIND❑W FRAMING HEADER TUBES (NON STRUCTURAL) ARE SHOP WELDED 2 LAYER TUBE HEADER F❑R OPENING UP T❑ 10', 3 LAYER HEADER FOR ❑PENING 10' TO 12' �+- 12' MAX. OPENING I ROLLUP DOOR DOORWAY, FRAME SIMILAR T❑ END WALL D❑ORWAY OPENING SIDE WALL OPENING FRAMING ELEVATION 2 FASTENERS EACH SIDE, 4 TOTAL 6' MIN. C❑NNECTI❑N SLEEVE SHOP WELDED TO TUBE HEADER , TRIPLE HEADER CONNECTION DETAIL 41 a f DRAWN BY: ART EB CARPORTS & SIDE WALL OPENING FRAMING DETA L� q DATE: MAY 201 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS PAGE 11 18 GAUGE U CHANNEL KNEE BRACE 45° 36' 2 FASTENERS EACH SIDE, 4 TOTAL 6' MIN. C❑NNECTI❑N SLEEVE SHOP WELDED TO TUBE RAFTER 2 FASTENERS AT EACH END, EACH SIDE, 8 TOTAL INTERIOR FRAME CORNER DETAIL 1 18 GAUGE U CHANNEL KNEE BRACE 45` 36' 2 FASTENERS EACH SIDE, 4 TOTAL 6' MIN. C❑NNECTI❑N SLEEVE SHOP WELDED TO TUBE RAFTER 2 FASTENERS AT EACH 48' LONG, 2' x 2' x 1411AM ; END, EACH SIDE, 8 TOTAL TUBE REINF❑RCEMENT AT TOP, FASTE RIS ALONG EACH SIDE AT 12`&COINNG INTERIOR FRAME CORNER DETAIL 2 ��ttJJ 2018 uwru OF BARNSTABL DRAWN BY: ART EB CARPORTS & INTERIOR FRAME CORNER DETAILS DATE: MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 12 18 GAUGE U CHANNEL KNEE BRACE BOW FRAME RAFTER WITH 9' RADIUS 45' 36' 2 FASTENERS MEMBER, EACH SIDE, 8 TOTAL 6' MIN. CONNECTION SLEEVE INSIDE RAFTER END AND COLUMN T❑P 2 FASTENERS AT EACH END, EACH SIDE, 8 TOTAL INTERIOR FRAME CORNER , DETAIL 3 18 GAUGE U CHANNEL KNEE BRACE BOW FRAME RAFTER WITH 9' RADIUS 45° 36' 2 FASTENERS MEMBER, EACH SIDE, 8 TOTAL 6' MIN. C❑NNECTI❑N SLEEVE INSIDE RAFTER END AND COLUMN TOP 2 FASTENERS AT EACH 48' LONG, 2' x 2' x 14 GAUGE INTERIOR END, EACH SIDE, 8 TOTAL TUBE REINFORCEMENT AT T❑P, FASTENERS ALONG EACH SIDE AT 12' SPACING INTERIOR FRAME CORNER DETAIL 4 DRAWN BY: ART EB CARPORTS & INTERIOR FRAME CORNER DETAILS DATE: MAY 2018 METAL STRUCTURES, INC. B0V1/ FRAME TSCALE- NTS PAGE 13 l 2' x 2' x 2' (14 GAUGE) TUBE RAFTER CLIP ANGLE WITH 2 FASTENERS IN EACH LEG, 4 TOTAL. HORZ. TUBE FOR OPENING BASE TUBE CONNECTION DETAIL 1 CONNECTION DETAIL 2 6' MIN. CONNECTION CLIP ANGLE SLEEVE SHOP WELDED BASE TUBE 2 FASTENERS EACH SIDE, 4 TOTAL BASE DETAIL 1 BASE DETAIL 2 DRAWN BY: ART EB CARPORTS & CONNECTION AND BASE DETAILS DATE MAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS FPAGE 14 SEE LEAN-TO CORNER DETAIL 1 SINGLE TUBE RAFTER SIMILAR TO CORNER DETAIL 1 SEE BASE DETAIL 1 RAFTER EXTENSION OPTION SEE LEAN-TO CORNER DETAIL 2 SINGLE TUBE RAFTER SIMILAR TO CORNER DETAIL 1 SEE BASE DETAIL 1 LEAN-TO UP TO 12' - COLUMN CONNECTION OPTION DRAWN BY: ART IEB CARPORTS & LEAN-TO FRAMING OPTION UP TO 12 FT DATE: MAY 2018 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 15 SEE LEAN-TO DOUBLE TUBE RAFTER CORNER DETAIL 1 SHOP WELDED TOGETHER SIMILAR T❑ CORNER DETAIL 1- SEE BASE DETAIL 1 LEAN-TO 12' T❑ 15' RAFTER EXTENSION OPTION SEE LEAN-T❑ CORNER DETAIL 2 D❑UBLE TUBE RAFTER SHOP WELDED TOGETHER SIMILAR T❑ CORNER DETAIL 1 SEE BASE DETAIL 1 LEAN-TO 12' T❑ 15' COLUMN CONNECTION OPTION DRAWN BY: ART EB CARPORTS & LEAN-TO FRAMING OPTION 12FT-15FT DATE: MAY 201 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS TPAGE 16 12' MIN. CONNECTION SLEEVE INSIDE END OF RAFTER AND TOP TUBE OF LEAN TO RAFTER 4 FASTENERS EACH SIDE, 8 T❑TAL 2' x 2' x 2' (14 GAUGE) CLIP ANGLE WITH 2 FASTENERS IN EACH LEG, 4 TOTAL. (ONLY FOR 12' T❑ 15' OPTION) LEAN-TO CORNER DETAIL 1 2 FASTENERS EACH SIDE, 4 TOTAL 6' MIN. CONNECTION SLEEVE SHOP WELDED T❑ TUBE COLUMN 2' x 2' x 2' (14 GAUGE) CLIP ANGLE WITH 2 FASTENERS IN EACH LEG, 4 TOTAL. (ONLY F❑R 12' T❑ 15' OPTION) LEAN-TO CORNER DETAIL 2 DRAWN BY: ART EB CARPORTS & LEAN-TO FRAME CORNER DETAILS DATE: MAY 201 METAL STRUCTURES, INC. BOX EAVE SCALE: NTS PAGE 17 SEE LEAN-TO CORNER DETAIL BELOW SINGLE TUBE RAFTER FOR SPAN UP TO 12', DOUBLE TUBE RAFTER (SHOP WELDED) FOR SPANS ❑F 12' TO 15' SIMILAR TO CORNER DETAIL 1 SEE BASE DETAIL 1 LEAN-TO UP T❑ 15' COLUMN CONNECTION OPTION 2 FASTENERS EACH SIDE, 4 TOTAL 6' MIN. CONNECTI❑N SLEEVE SH❑P WELDED TO TUBE COLUMN 2' x 2' x 2' (14 GAUGE) CLIP ANGLE WITH 2 FASTENERS IN EACH LEG, 4 TOTAL. (ONLY FOR 12' TO 15' OPTION) LEAN-TO CORNER DETAIL DRAWN BY: ART EB CARPORTS & LEAN-TO FRAMING OPTIONS DATE: MAY 2018 METAL STRUCTURES, INC. BOW FRAME SCALE: NTS I PAGE 18 VERTICAL TUBE FRAME MEMBER 6' MAX. BASE PERIMETER TUBE DISTANCE FROM VERTICAL MEMBER 44 v o. e A n v o •d - a - - o FOUNDATION SLAB 6' MINIMUM THICKNESS (BY OTHERS) SLAB REQUIRED J' DIA. X 6j' LONG CONCRETE WEDGE ANCHOR WITH MIN. EMBEDMENT OF 3J' INTO CONCRETE SLAB ANCHORAGE DETAIL DRAWN BY: ART EB CARPORTS & CONCRETE ANCHORAGE DETAILS FEMAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS I PAGE 19 VERTICAL TUBE FRAME MEMBER BASE PERIMETER TUBE B❑LT INSTALLED IN EYE OF ANCHOR J' DIAMETER THROUGH GROUND BOLT WITH WASHER SEE NOTES, AND NUT ON EACH END I ( I I ( ( II ( HELICAL ANCHOR INSTALLED WITHIN 6' OF EACH POST SEE NOTES. HELICAL GROUND ANCHOR DETAIL SOIL TYPE ANCHOR REQUIRMENT VERY DENSE SOIL (SAND, GRAVEL), TWO-4' DIA. WITH 30' EMBED. ❑R PRELOADED FILL, GLACIAL TILL ❑NE-6' DIA. WITH 48' EMBED. MEDIUM DENSE SOIL (SAND, GRAVEL) TWO-4' DIA. WITH 30' EMBED. OR ❑NE-6' DIA. WITH 48' EMBED. LOOSE T❑ MEDIUM DENSE SOIL (SILT, SAND), TWO-4' DIA. WITH 30' EMBED. OR UNCOMPACTED FILL, FIRM CLAY ❑NE-6' DIA. WITH 48' EMBED. LOOSE TO MEDIUM DENSE SAND, TWO-6' DIA. WITH 48' EMBED. UNCOMPACTED FILL, FIRM CLAY VERY LOOSE SOIL, STIFF CLAY TWO-8' DIA. WITH 60' EMBED NOV 08?01g DRAWN BY: ART EB CARPORTS & HELICAL SOIL ANCHORAGE U DATE. MAY 2018 METAL STRUCTURES, INC. ALL TYPES SCALE: NTS PAGE 20 _ 1 r Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Emajl Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signat re Date Section-10—Home Improvement Contractor Name Telephone Number Address City State zip - Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your IEUC... Signature Date Section 11—Home Owners License Exemption �- Home Owners Name: Q�i !�; d zN e 1 a h Telephone Number 7 7 -L S F I `F y Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. F Signature �o� Date I/ l F APPLICANT SIGNATURE Signature � �� ,� Date A Print Name WQ/- cow Telephone Number -7 `f _ 2 3 - o/ q 5 E-mail permit to: fQ 0 9 v✓u C, 460 . C6PV T a Section 12—Department Sign-Offs , Health Department ® Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) 0 Fire Department ❑ Conservation ❑ S For commercial work,please take your plaas directly to the fire department for approval Section 13—Owner's Authorization L as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name I I • 1 r 1 I y 1 1 � J •_T � S� A ,• 1. V A Last wdat:d:2/92018 Town of Barnstable Buildin li M" •. PPo setp e 7dh� st o BARIMA ,WhreU s.n-,C-t..a,vi.,l.r.;�:�dF inS,ao�l;T.I:�"n�hss a.,p�ti�•e:�.�,tc,t,i.si�wo�U ni�sH,i�balse h",.`B'i,,F��er.xeo.,t,n�m,..�M.t<;h'aed^e','bS W.,*tr e+e;-t,.�'A:,':,r,�o�,v e�d�„-..,:P�I>a�I ae„�n,_,,Q.s.�M,•':u�„.s..�t��b..ie a��};f.R, et�sa�rin�._.�e�,"d#r,xo..n,,..J,o�b a..>n..d�":y,th,�is C.:.,ard M�aFu/s',t�b4�e K�e,;�. t Y Permit '. Permit No. B-18-1810 Applicant Name: ANDERSON, ERIK P Approvals Date Issued: 07/05/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/05/2019 Foundation: Residential Map/Lot 027 121 Zoning District: RF Sheathing: Name: Location: 152 LAURIES LANE COTUIT Contractor Framing: Owner on Record: ANDERSON, ERIK P a, a Contractor License 2 F EsProfect Cost: $25,000.00 Address: 152 LAURIES LANE Chimney: MARSTONS MILLS, MA 02648 Permit Fee: $ 177.50 E Insulation: Description: Interior renovation of kitchen and bathroom which�insludes Fe Pad $ 177.50 "�� installation of new flooring throughout,reconfiguation of6non load Date 7/5/2018 Final: bearing walls,adding structal headers in living room3and bedroom . ... See attached beam calculations. s £ �7 - Plumbing/Gas Project Review Req: ENSURE POINT LOADS PROPERLY CARRIE®THROUGH TO A Rough Plumbing: FOOTING. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedbythis permit is commenced within simots after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documentsforwhicKfh�s permit has been granted. All construction,alterations and changes of use of any building and structures,hall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access stir or road and shall be maintained open for publicJhspectio�n for the entire duration of the work until the completion of the same. • Electrical The Certificate of Occupancy will not be issued until all applicable signatus by theBuildmg and Fire Officials are,�providetl o re nth is permit. Service: Minimum of Five Call Inspections Required for All Construction Work: � F } 1.Foundation or Footing wx - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pApplication Number- ............. .. .................................— BAMOMM ; JUN 08 2019 !'. NAM + �-o w Permit Fee...:................ . ................Other Fee........................ i" �`� N OF13Ai3NS 6 %i Total Fee Paid..................................................................... TOWN OF BARNSTABLE Permit Approval�... . ............. ............ �. ..._ BMDINO PERMIT Parc& .. ................. APPLICATION Section 1 Owner's Information and Project.Location Project Address C 5t L-0,0y-i i wn-e_. image Owners Name t f Owners Legal Address ' State I/ Zip E City A� Owners Cell# 7 7ei Zd' C� L4� _Frmail ��.�� c�r�'C9 ` q Section 2—Use of Structure Use Grroup ❑ Commercial St ucture over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction , , ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm - Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar LJ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description h+e,r i o o-� k►4-ok en a*td. vn�d odes Ivishalla.lion of- new" floorleicA4rotto6c'- -f 0, re- on T 5to Rndatm:719=1 9 Application Number.................................................... Section 5—Detail Cost of Proposed Constructiori Zg t?� Square Footage of Project Age of Structure � Dig Safe Number FVlyd r #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics [�W'ning I ❑ Oil Tank Storage ❑ Smoke Detectors [�]P umbing ❑ Gas ❑ Fire Suppression B Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private --- - Sewage Disposal ❑ Municipal -B 5n Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility.F� f �`l I am using a crane ❑ Yes B No. Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No H Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required. Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Lasttmdwfm 2/92018 ^s �SZ �v✓/ L�iwi Ca1`v. C z - i Y - _ - . -- - ------ - — : i ? erg 1 gB E M i8 - _ .._ .. r.: : t � f , - _ - f 1 b _.__Barnstable-Bld ..Dep�' _ ` -=TOWN-0F BAf§N S towed by. _ t C j 1 - _ ........ - Jrt — — _ .. _ _ _ f E ra 1" r C4 k, - ................ _ -LL F J # i _ e , , a _ t ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 Dry 11 span I No cantilevers 0/12 slope May 21, 2018 20:00:00 BC CALC®Design Report Build 6536 File Name: BC CALC Project Job Name: Anderson Description: sidewall opening Address: 152 t�e�Me &cf PA, Specifier: City, State, Zip:Barnstable, MA Designer: Customer: Company: , Code reports: ESR-1040 Misc: IN a= 11-00-00 BO B1 Total Horizontal Product Length=11-00-00 Reaction Summary(Down!Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 660/0 1,373/0 1,980/0 B1,3-1/2" 660/0 1,373/0 1,980/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 roof Unf.Area(lb/ft^2) L 00-00-00 11-00-00 15 30 12-00-00 2 ceiling Unf.Area(lb/ft,,2) L 00-00-00 11-00-00 20 10 06-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 8,468 ft-Ibs 52.8% 115% 2 05-06-00 End Shear 2,693 Ibs 37.1% 115% 2 01-01-00 Total Load Defl. U374(0.339") 64.3% n/a 2 05-06-00 Live Load Defl. L/632(0.2") 56.9% n/a 5 05-06-00 Max Defl. 0.339" 33.9% n/a 2 05-06-00 Span/Depth 13.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member. Material BO Post 3-1/2"x 3-1/2" 3,353 Ibs n/a 36.50% Unspecified 131 Post 3-1/2"x 3-1/2" 3,353 Ibs n/a 36.5% Unspecified Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALCO analysis is based on IBC 2009. Design based on Dry Service Condition. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAMB 2.0 3100 SP Floor BeamT1301 Dry 1 span No cantilevers 1 0/12 slope May 21, 2018 20:00:00 BC CALCO Design Report Build 6536 File Name: BC CALC Project Job Name: Anderson Description: sidewall opening Address: 152 Laqurie Lane Specifier: City,State, Zip:Barnstable, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure yam{b d Completeness and accuracy of input must LI be verified by anyone who would rely on a output as evidence of suitability for • r• ' 77 particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of Boise Cascade engineered • • wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation. b minimum=3" d=24" BC CALC@,BC FRAMER@,AJSTM, Member has no side loads. ALLJOIST@,BC-RIM BOARDTm,BCI@, Connectors are: 16d Sinker Nails BOISE GLULAMTM,SIMPLE FRAMING SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are trademarks of Boise Cascade Wood Products L.L.C. The Commonwealth of Massachusetts Department of IndustrialAccidents o -- - - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia 1 our ensation Insurance Aida 't: Builders/Contractors/Electricians/Plumbers ectricians/Plnmbers rk C vl: Workers' $ P Applicant Information Please Print Legibly Name(Business/OrganizationAndividual): �v` /r P !T dui C1/,el/u) ' Address: City/State/Zip: /Hf 0 2 G-�Y 'Phone#: -2-7 U l Are.you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors. 6. ❑New construction employees(full and/or part-time). . 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ,0 Demolition working for me in an capacity. employees and have workers', 1; Y P ty. $ 9. E]Building addition [No workers'comp.insurance comp.insurance. required.] 5. El We are a corporation and its 10.El Electrical repairs or additions 3. I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurarice for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the9 pains and penalties of perjury that the information provided above is true and correct: Signature: ��-`�'`X' G�`' Date: CA Phone#: 7-7 `-/- Z 3 O Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions µ Massachusetts General Laws chapter 152,requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such_employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of A; insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their a ro self-insurance license number on the pp priate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant permit/license applications in an given year,need only submit one affidavit indicating current 't multiple Y� Y that must submit p p PP « °° (cityor policy information(if necessary)and under Job Site Address the applicant should write all locations in town)."A copy of the affidavit that has been officially stamped or marked by the city or town may provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or,permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: �. The Commonwealth of Massachusetts Department of Industrial Accidents Qfliee of lnvestigat-ims 600 Washington Street Bostuu,MA 02111 Tel.#617-727-4 9N ext 406 or 1-877-MASSAM Fax#617 727-7749 Revised 4-24-07 wwwmass.govldia ----- ------ - Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Tap License Number . . License Type Expiration Date Contractors Email Cell# I d my responsibilities under the roles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR.and the Town of Bamstable.Attach a copy of your license. r Signature Date Section-10—Home Improvement Contractor f • Name Telephone.Number Address City State Tap Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Budding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11—Home O�vriers License Exemption Home Owners Name: vu AvAenamvi Telephone Number 77q Z39 D(Lict Cell or Work Number %Aiw-e_ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Si Date APPLICANT SIGNATURE , Signature Date Cl ell Print Name Telephone Number '7 7q �7 0� E-mail permit to: ` T —,-A.nin PWAI0 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) i Historic District ❑ Site Plan Review(if required) ❑ i Fire Department ❑ � Conservation ❑ For commercial work,please take your plans directly to the fwe deparbnait for approval i Section 13—Owner's Authorization I, , as Owner,of the subject property hereby authorize to act on my behalf, in all matters relative building to work authorized by ding permit application for: A (Address of j ob) ' Signature of Owner date Print Name t t Last=dated:2J92018 a . s tf '^ _ er..s ti..-,ry� l� '_`.-'S..r....S�. _.r�n�'y i ,, .. r '• -`� .i •3'k,, ,. ry y,�'. a ` Assessor's office;(1 st Floor): Assessor's map and lot number D�//� Q• of YN E Toy Board of Health(3rd floor): Sewage Permit number 00 — 0 `t 10� Z BABl9YADLL i 4 Engineering Department(3rd floor): : 'f rued House number Definitive Plan Approved by Planning Board 19 , _; �o rpr a• APPLICATIONS!PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ' BUILyD1NG INSPECTOR APPLICATION FOR PERMIT O �/-�( /C TYPE OF CONSTRUCTION Woo j} U ov G 19 q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationy a 78 fa .2 (Gt! Proposed Use X/!—CR%A Z*z d A " � X. g Zoni-"District Fire District tC . ` Name of Owner DA(11 a / /_ ,(2 A) Addressl�j (—kU /r S L4), /lAr-I %ADAl. Name of Builder — Address Name of Architect Address _ t Number of Rooms <r Foundation Exterior Roofing J Floors Interior Heating Plumbing Fireplace. Approximate Co" Firest p PP _ Area Diagram of Lot and Building with Dimensions Fee 5� 9. 9 4 / i IZ- `' OCCUPANCY PERMITS REQUIRED�OR NEW DWELLINGS a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name _ Construction Supervisor's License /�Z� 4 DENNISON, DAVID H. A=027-121 + No— 2952 Permit For Build Deck "' M Single Family Dwelling Location 152 Lauries Lane Marstons Mills Owner David H. Dennison Type of Construction Frame Plot Lot t f Permit Granted June 6 , 1989 Date of Inspection 19 Date Completed 19 j � t �t f Assessor's office(1st Floor): Assessor's map and lot number IM7 o r yoF THESEMSYNN Tod` Board of Health(3rd floor): YSM Vwage Permit number laqqINSTAUE0 IN COMP Engineering Department(3rd floor): nnWITH 71TLE 5 MU&tL J House number ._ %S�oZ )'y)�CJ� ENVIRONMENTAL CO®�� 1639 Definitive Plan Approved by Planning Board 19 b TOWN a 'OULAM APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 14 _c7 yOt1 F 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Z�_2 C a O�IIC ZL-; Q 17J&Xs?oej�j �7� r, D 7 CL Proposed Use / dam/ Zoning District �F Fire District • � '\ Name of Owner - 01561NI'C O A) Address�j Cr UJe/r 1 LeV, 44 /oA)J4 /�, f f— Name of Builder -Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 5�® 2-ff/ f / \ PANCY PERMITS REQUIR D FOR NEW DWELLIN I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam Construction Supervisor's License /��/ Y DENNISON, DAVID H. No 32952 Permit For Build Deck _ Single Family Dwelling . Location 152 Lauries Lane Marstons Mills Owner David H. Dennison k Type of Construction Frame E Plot Lot 91 Permit Granted June 6 , 19 8 'r Date of Inspection 19 E *{ Date Completed 19 I R. Ye i y 59 cry �'; lie` � � ' 6 Town. Of Barnstable *Permit# ._. 06 76,5�S +ate Expirap months from Issue date MASS. i Regulatory Services Fee . � 2659. Thomas F.Geiler,Director Building Division Tom Perry,Clio, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 •�, Fax: 508-790-6230 EGRESS PEI [T APPLYCATION - RESIDENTIAI,ONLY Not Yalid without Red X-Press Imprint Map/parcel Number Property Address &6esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 4Yti� Contractor's Name Telephone Number 5o g—q D,?--A g Q Q, Home Improvement Contractor License#(if applicable) I U,S 3 l� Construction Supervisor's License#(if applicable) OWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor S PERMIT ❑ I am the Homeowner I have Worker's Compensation Insurance AUG 3 0 2007 Insurance Company Name BARNSTABLE Workman's Comp,Policy# C( Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side o El Replacement Windows. U-Value __(maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,he. Cohse" tion;etc,, ***Note: `��. ro Owne ust si - Home weer better of Permission. xt ense is required. SIGNAT RE: Q:Forms:expmtrg Revise071405 !` Y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): r'/t0_4�L.c, Address: C) e�. 0-y 1 ��{J City/State/Zip: � Mc— G 9635 Phone#: 5o g;qA q" A �)_q g_ Are you an employer?Check the appropriate box: Type of project(required): 1.VI am a employer with__ 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.tKkoof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name � Policy#or Self-ins.Lic.#: 7 I '7 X V l q Expiration Date: q 6 Job Site Address: /,A ofau ,L_� fit_,, City/State/Zip: �? CA017114 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dated.7-6 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb�yx� ler.t . s and emrtt so per ry that the information provided above is true and correct. Signature: Date: Phone#: So Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. Phone#: to CONSTRUCTION Fraser Construcion '.t Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 508-428-2292 Email: fraser construction(Lverizon.net www.fraserroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL, DATE: August 7, 2007 NAME: David Dennison PHONE:, 508-420-2484 MAIL ADDRESS: same "JOB ADDRESS: 152 Lauries Lane Marstons Mills, MA,02648 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 - Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. Color: Cobblestone Gray PRICE- $2,700 InitiaL�— Price includes painting the heat stack gray SURRIV & Install - CertainTeed Winter - Guard: (ice &s water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and"skylights) Supply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install Kick's Ventilated Drip Edge. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. TOTAL INVESTMENT: LANDMARK/WOODSCAPE AR 30 - $2,700 i Payable immediately upon completion NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD - VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 18%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof,we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. . If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and,other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above,work, certificate available upon request. DATE OF ACCEPTANCE: C� �a�' c, 7 1 Homeowner Fraser ons Ction ::::::::::::::::•.::::::::::::::::::._:::::.:: .:: ::: .. :. :.:.::::::::•::::.::.:::::: DAT PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON TIME CERTIFICATE, WISE PLEASANT ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE COMPANY 24WCB A • INSURED HARTFORD UNDERWRITERS INSURANCE COMPANY COMPANY FRASER CONSTRUCTION CO PO BOX 1845 COTUIT MA 02635 COMPANY C COMPANY77 ................::::::::::::::.;:.:•;:.:;;::.;::<:�;;:�:�:�:s:I'E"S';;i?; :;:: .........� �f......':�:5:::$5:�:�i::2 i::%: 2':a::::::;;: �:'$:�:;:;:;:;�;> ;;: r:::;;:�;:;i:?�:�::;:;>:.::�:�:>�:�:;;;;:c:;;`.;:r::;:;:::�'�:;;:?::�:;::;� >:;.:::;::;•;::::;:•:-;;•:.:�:::::T IS ..IS TO CERTIFY THAT THE ::::::::.:::::::;:.:.;:.;;:.:.>;;>:;.;>:.;::x;:;.::.;;;;:.;>;>:::<:»::;:.:;.:.;::::::;;;;::.;;::»::>:;:.:.:.;:<.»<:;::;.;:.:.:;>:•:•::•;:;•;::>::;:<.;;:; POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TTH RESPECT TO WHICH THIS E POLICY PERIOD HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co L.TN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXpIRATION GENERAL LIABILITY DATE(MM1DDWV) DATE(MM1DD\VV) LIMITS COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OCCUR. PRODUCTS-COMP/OP AGG. $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT $ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (Per Accident) $ E LIABILITY PROPERTY DAMAGE $ GARAG ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-794XG 19-1-06) 09-26-06 09-26-07 STATUTORY LIMITS THE PROPRIETOR/ PARTNERS/EXECUTIVE X INCL EACH ACCIDENT $ OFFICERS ARE: EXCL DISEASE—POLICY LIMIT $ OTHER DISEASE—EACH EMPLOYEE $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS_ REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTIN G WORKERS C MP COVERAGE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE•-THE•- I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ERIpEAVOR FRASER CONSTRUCTION TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 1845 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR CO TU I T MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C, d �® ag'd ®fl3b8,g1g Re ]agu tl® One Ashby®n Place ® ]as and Stazidards Boston- •l assachusetts®� 1301 HomegMpr®vement.C0 21®� Y� °a�tOr Registration I ® AA NS E� Registration: 112538®NSTRuCTI®� ®. Type: DBA P_0. B®�45 Expiration: 3/23/2009 Tr# 127920 C®TUI?', VIA 0263.5 j DPS-CAI 28 50M-08/08-PC8490 ' Update.Address and retlgrII Cage��,— ❑ Address ❑ Rea reason for change. Board®fl$uilalin -- -- --•--- �------•- - - ffi g Regulations and Stan afa ❑ plonent ❑ Lost card i HC)ME"WP rds EMENT CONTRACTOR License or registry Registration: before Valid for'12536 the date. gff®�dividnl use o i?'xpiratiain: 3/23Ja}009 Trd 127920 One of��q�� a�one found return to: only Vie: DES t Ashburton Place and Standards ERASER COIVSTRU Boston,l@�u,0210S Y30Y DEAN F CTIOIV�p,� jai BASER 4556 RT 28 COTUiT,MA 02635 or Not valid Without A tare i '� to ail tv _ _-v ---- . � / � vr��G� tie l� �- � �o� �� o� a �, � (O � Town of.Barnstable 'Permit oFrtu toy, #ti IF Y RegitIatory Services LFeees6,»anl/rsjrr sae nle i l3.ARVS7'ABLE, 6j9• �� Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 I www.town,barnstable.ma.us Office: 508-862-403 8 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 (Not Val&rpitiroul Red X-Press/niprinl Map/parcel Number I 1 Property Address L C��-- Residential Value of Work G 0 Minimum fee of$35,00 for work under 36000.00. Owner's Name Address co�Nk �n)?rwn Contractor's Narner _Telephone Number _ 66 7c_9_VOL_ IIome Improvement Contractor License ti(if applicable) Construction Supervisor's License#(if applicable)_A11i � Q S PERMIT ❑Workman s Compensation Insurance Check one: OCT 4 2.010 I am a sole proprietor 1 am the Homeowner ` OWN OF BARNSTABL ❑ I have Worker's Compensation Insurance Insurance Company Name A11A Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to Re-roof(h urricane nailed)(not stripping. Going over existing layers ofroofl Re-side of doors ❑. Replacement Windows/doors/sliders. U-Value (maximum .35) #of windows *Where required: Issuance of this permit does not exempt compliance with other town depariment regulations, i:e. Historic,Conservation,ctc. ***Note: Property Owner must sign Property Owner Letter of Permission. A'copy of the Rome Improvement Contractors License & Construction Supervisors License is required. IGNATUIZE: IWPPIL ESIPORMSIbuilding permit forinSll'XPRESS.doC :vised 072110 w The C'onittroirwealth of-Massachttsells _.......�-- --- Devart'inent of hidits1rialAccidews Office ofInvestiga ions .600 Wasltiiz lon Streel ,j Boston, Aia 02111 `� t•a'ts�rl�.trinss.go>v'dirr _ . 'Workers' Compensation Insurance affidavit:-BBtiilders/+C'on:tractoi-s/£lee tiicians/PhImbers Applicant Information Please hint Legiblti Name (&tsiness/Organizotiongndivtdtial): Ad&e,ss: 1 7 Lwt,r'�e. Lvi City/State/zip: l Phone At e yQu an employer?Check the appropriate.box.: Type of project(required).' L.❑ I am a employer with 4. � I am a general contractor and I employees(full and/or port-tirn.e). * have hired the sub-contractors 6 ❑New construct ou ❑ I ani a sole proprietor or ptirtrtes- listed on:the attached sheet. 7. E Remodeling shr and have no employees ees These sub-contractors have,p p � $- � Demolition . working :for me in any capacity. employees and have workers' coin insurance..Y q• ❑.Bnildingaddition '(No workers' camp,insurance comp- 5. ❑ We are a corporation.andits 10.[]Elec:tricalrepairs vra.ddi.tions 3. ] .1 am a.homeowner doing all work afticers have exercised their 11.�Plumbing repairs or additions bans myself. [No workers'comp. right of e-cen�ptiou per I�fGL 1�.�Roof repairs iris--urance required.] r c. 152, §1(4:),and.eve have no employees. [No workers' 114J OtheAe-_S� comp.:insurau-ce,required.] 'Any appticaurthatchecks box#l.must also fill out the sectionbelma,showing zheirTvwlers'cornpcnsatian policy"informntian- Y Homeowners who submit this at'fid.avit indicating they ere doing all'w:ork and then hire outsidecontraciors must submit a tsew affidavit indicating such- yContraciors that cbeck this-box must sttached m sdditional:she.ei showing the:n=,e of the sub-contractars and stste whether.or not(hose entities have employees. If the sub-c.onlractors:hsve emplo5•ees,.they.must provide their workers'comp.policy number. T urrt Rrn eutpbol r that is pronidirrg nro>rk�rs'corrrpertsr�h"o�.t iltsarrrrrrGe for rrty' ettcpla�ees. Beton is the poiicy.and job site tt,J'orrrtrr r'v1t. ` ,. Insurance Company Name: Policy#or Self--ins.Lic. 0: A(�� Expiration Date: WA r Job Site.Address: IS-L L City/State0p: Afl� Attach ar copy of the workers'compp sation policy declaration page(s miring the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.,500.00 and/or one-year unprisonment,as well a's civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this sLa:tement may be.forwarded to the Office of Investigations of the D.IA for insurance coverage_uerification. I do hembv ce.rtify treader tliepninis.antd nrci`fie Bury that the is fortnartiantprouided above is truivand correct. Si tore: C Date: Phone#: JU`$ �. 74- ?W_ o rial Jtse only, Do not tr,rit�e in this area, to be couipltrted by�rift or town q cial City-or Toile: Permit/License# IssuingAuthoiity(ci7rleone): 1.Board of Health 3. Building Depaxrtment 3.C`,ity/Fo-*l'n Clerk 4. to Inspector 5.Plumbing Inspector 6. Other cr-ontact Person:_ Phone# y r oFIHEr W BARNSPABLE, MASS. ' Town of.Bar�nstabIe �dgq. �� pTfD MAC A Regulatory Serviees Thomas F. Geilei; Director`' Building Division Thomas Perry,'CBO Building Commissioner,` 200 Main Street, Hyannis, MA 02601 wvvw.town:ba rns to bl e,m a.us Office: 508-862-4038 Fax: 508-790-623.0 t -� 1 k Property Owner Must Complete and Sign This#S`ectrori ' - If UsirigiA Builder r, as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this b"tuldingpermit application for: t, (Address of Job) ' Signature of Owner Date Print Name If Property Owner-is applying for permit, please complete the Homeowners License Exemption Form' n the reverse side. Q'\WPFILESIFORMSIbuild'ing permit formslEXPRESS doc 4 0Irti 'Town of Barnstable ' Regulatory Services * iBAOSTABLE, Thomas F. Geiler, Director `�'Arab39,va,� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 518-862-4038 Fax: 508-790-6230 --------------------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1 O-4 — i1 U JOB LOCATION: SZ L�l/('t ►I tA�J 1' t� number street ` village "HOMEOWNER -El'�� l�Cl�l l� J�0 27`9 IJ6 J name home phone N work phone# CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use.and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit.to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109,1.1) ed"homeo"homeowner"assumes t The undersign w a s mes responsibility for compliance with.the State Building Code and other applicable codes, bylaws, rules.and regulations. y g v The undersigned"h•omeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: 'Any homeowner performing work for which a building permit is required shall be exempt from the.provisions of this section(Section 109.1.1 Licensing of construction Supervisors);-provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of.a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible, To ensure that the homeowner is fully aware of his/her responsibilities,many communities req`wire,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care I amend and adopt such a form/certification for use in your community. Qt'\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division 'Date Issued Conservation Division Application Fee Planning Dept. Permit Fee a Date Definitive Plan Approved by Planning Board / Historic - OKH _Preservation / Hyannis Project Street Address I S ,_ L�c�e�� ►1 Village Owner n ('Sc - Address t S 2, [.cA��c' Ln Telephone SOS ),-1�{ qS6� Permit Request �acMeg 1�o'Ch Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation qj_ 00 Construction Type Lot Size Grandfathered:. ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, Two Family ❑ Multi-Family (# units) / Age of Existing Structure 7 k2 Historic House: ❑Yes � No On Old King's Highway: ❑Yes ® No Basement Type: L Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: I- existing _new Total Room Count (not including baths): existing y new First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes u No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing =0 new? size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other`:' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r ^' Commercial ❑Yes ❑ No If yes, site plan review w e # � c� Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number SOS 17q q10 Address I Sa (A,6 L 6) License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Gam...--� DATE rat FOR OFFICIAL USE ONLY -•APPLICATION# DATE)SSUED MAP 1.PARCEL NO. ADDRESS VILLAGE OWNER' DATE OF INSPECTION: - FOUNDATION 12 r VOOO& O( <<xY►��-L� FRAME Pa�� Kaa SF/ uk S-J, t. INSULATION F FIREPLACE R ELECTRICAL: ROUGH FINAL G - PLUMBING: ROUGH FINAL { r GAS: ROUGH FINAL FINAL BUILDING e DATE CLOSED-OUT y ASSOCIATION PLAN NO. - L c. Y'* The'Commonwealth of Massachusetts Department of Industrial Accidents Office-oflnvestigat ions 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/IndividuaT_ �n ter Ull Address: S &g(,r"en L ) City/State/Zip: Munk,) M; (\ Phone #:. �. y�, 2N PJ6r< Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition ` working for me in any capacity. workers' comp. insurance, 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per'MGL H.0'Plumbing repairs or additions myself. [No workers' comp. c, 152,§](4), and.we-have no, 12.❑ Roof repairs insurance required.] t employees. [No workers' 131J Other comp.,insurance required,]. *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating,they are doing all work and then hire outside contractors must submit`new affidavit indicating such. kContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration,Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-year imprisonment, asmeil-.as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the.violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereby certify under the pains nd penalties of perjury that.the information provided above is true and correct. Signature: Date: 'z Phone# Official use only. Do not write in this.area,.to be completed by city or town official. City or Town: Permit/License.# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector. 6. Other Contact Person: Phone#:.r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an in partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152;§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements`of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than.the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to givetus a call. The Department's address, telephone and fax number: 1� The Commonwealth of Massachusetts .- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext.406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable ' Regulatory Services swi;rtsresUF Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION . ` Please Print DATE: JOB LOCATION: number - v street' village - "HOMEOWNER,:(iC,k Qn\f on &og 2-7q %I SOl� liq - /50 name home phone#' work phone# J CURRENT MAILING ADDRESS: MQnA06S m:II � city/town -• state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units of less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns-a parcel of land on which he/she resides or intends to reside;on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm'structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.a Such - "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. - Signature of Homeowner Approval of Building Official - Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0.Construction Control' HOMEOWNER'S EXEMPTION The Code states that:."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons.In this case,our Board cannot proceed against the unlicensed peison as it would with,a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, . that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by, several towns. You may care t amend and adopt such a form/certification for use in your community. - QToimslromeexempt rs , e Engineering& K05EKT M. DE5K051EK5, P.E. Design Co., inc. Consulting Engineer 508-946-5561 155 East Grove Street • Post Office Box 649 Fax 505-946-1653 Middleborough, MA 02346 May 13, 2011 Project No.2011-137 Mr. Andrew Hall Architectural Design Solutions P.O. Box 1791 Mashpee,MA 02649 Re: Design Review of the Proposed Covered Porch Framing for the Home Located at 152 Lauries Lane,Barnstable,MA Mr. Hall: You asked me to review proposed framing configuration of a covered porch at the referenced location, for conformance with the building code. You have prepared and provided me with plans, and a section, dated May 5, 2011 for the construction of the proposed proposed covered porch. The proposed covered porch will be conventionally framed using ordinary dimensional lumber and engineered lumber products. The porch will be a typical open sided wood frame framers porch. The outer edge of the porch roof framing shall be supported by a double(2) 1 %" x 7 I/" LVL beam. The porch roof beam will be attached to and bear on a series of 4x4 wood columns that are attached to and supported by pier footings at the outer edge of the covered porch. Where there is a beam to rafter and ceiling joist connection the porch roof and ceiling framing shall secured to the beam using one (1) Simpson H10-2 per rafter to beam connection. The pier footings shall consist of"Bigfoot"bell footings or spread footings cast at or below frost depth that support 10 or 12"diameter"Sonotube"piers. For the connection of the posts to the piers where the superstructure is open and lightly framed, I recommend (1) Simpson ABU post base, secured to the posts and anchored to the piers. The framing connection between the posts and the porch beam assemblies shall be reinforced with Simpson BCS Series column caps one per post to beam connection, or the beam can be let in to the posts and trough bolted to the post using two(2) 5/8" through bolts. - The roof assembly consists of 2x8 rafters spaced 16"on center with 1/2" (CDX)plywood sheathing. The roof shingle system applied to the sheathing must meet the wind velocity specification for the 110 mph zone. The rafters of the porch shall be attached to a ledger board that is secured to solid framing of the existing roof. The rafter to ledger board connection shall be made using Simpson H3'clips one per rafter to ledger. The joists of the deck shall be attached to the structure with galvanized metal hangers and a ledger board. The ledger board shall be attached to the rim joist or into solid framing using 1/2"lag bolts or ledger-lag screw,two (2)rows spaced and staggered at 16"on center. The deck joist shall be attached to the double(2)2x12 porch beam, and this connection shall be made using Simpson H10 clips one per deck joist to beam connection. These connectors will help complete the continuous connection of the roof framing members to the permanent foundation of the structure. The balance of the deck framing can be of ordinary construction methods and materials. The sizes given for nails are common wire sizes. Box and pneumatic low carbon nails of equivalent diameter and equal or greater length to the specified common nails may be substituted. All mechanical connectors shall be installed following all manufactures specifications for proper installation and nailing requirements. If installed as specified herein and according to good construction practice,this covered porch framing configuration will meet the structural requirements of the Seventh Edition of the Massachusetts State Building Code. If you have any questions regarding this report, or if you require additional information,please do not hesitate to call. Regards, Michael R. Shaheen. ` OF � c -V ROS1,,ERS tA+ o 3b770 UCTURAL Lie �i r,+ i' EXISTING P.T. 2X8 LEDGER FOUNDATION WALL BOARD O O O O r @ Ua \ Q cli N CA H � CL: 2 2 i P.T. 2X12 IRT ELO 2 F.T. 2X1 GIRT BELO 2 P. . 2X1 GIR BE W ( ) ( ) ( ) P.T. 4X4 P05T ON 101, GONG. 50NATUBE W/ MIN. 24" DIA. "13I6FOOT" GONG. FOOTING SYSTEM . (TYPICAL) 10'-6 3/4" 10'-7" 10'-6 3/4" 154 0 .EG FRAM I N6 FLAN ` e 5GALE 1 / 4ii = 1 _ 0: i e - This 5el of Crau qs- 'n[entletl -to b AU)s iob ro.: iip9 a des",s�t only . " NEW DECK PLANS FOR THE ��atr��t�ro� mere o,c the e —Y s,ao _ verif'eOe Qa elr�cNra ergro - aate n �N1 RSON RESIDENCE The aontrocror«cepis A-1 h co tent --"'i` A5"°�° 152 LAURIES LN.BARNSTABLE,MA '�"'��15Gfep „yARCHIrECruRAL L7ESIC3N soL.uTioNs tlraun pµ to lM1e attention of me desi�er Y1 . .prior to met ginntg or"ort mask�pcc-, i � rr-I- S08-477-8 9."30 nre,itecmrai oeeiq sowuons eal.l- 774-4 tt7-0093 51TE / DECK PLAN i�Mwro protection kt'of 199°. P.T. 2X8 LEDGER '. BOARD t + X15TING P 5T UP FRO EX15 ING OUS WALL WALL 2 4'5 @ 16" O.E. (SHE 5E TION) v • U v V O r O O i r @j r • ry ' N m (2) l VL H ADE 2) 4 Lot,',' 4 N P.T. 4X4 POST ON 10" GONG. 50NATUBE W/ MIN. 24" PIA. '516FOOT" GONG. FOOTING ar5TEM (TYPICAL) 1 5/4"1,1, 10'-6 3/4" - 10'-f" 10'-6 3/4" - 13/4" 32'-0 F ffRAM N & F L AN , SG, ALE 1 / 4 1 _ 0 "` A osea a[e AF)s NEW DECK PLANS FOR THE p11 aesgn set o�arawi�gs only. [ eruea o trvL[w'o1 engine - dale MAY 5,2011 ANDERSON RESIDENCE me ge eontraetor aece— - t r r e. all r p¢nsrouny For[ne caomn[ , ads�og ay e cPlp AS NOTED alxrepa,Lieeoo�s ARC:H.LTF_CTUR�'A.L D.F_SLC;N SOLLJ'TLONS 152 LAURIES LN.BARNSTABLE,MA et otonq of w«get . eeu.. PAN to me ouonto,or tneodesg re.l-.SOF3-477-Li5)30 nfor to the aegming r Nort•,.r azlash�>e.c, ma - - r<nitect�-a1 Desge sownone Hereby expressly series[nc �.aveLzou.eplaizsL>aol_cc,m cull- 774-4 F37-00 J3 i SITE / DECK PLANqLof ��' Protection Act'roF 199o. p ,PEA Ate-.err- Tio// emu-- {�. :Y A OMB F r: oo LoT q5 Lo-r Lc' (VACANT) : Nv 24' V , �o7.6,2, J. F 1; I CERTIFY THAT THE FouNDA-ri oN p 0P,u SHOWN ON '.N-THIS PLAN IS LOCATED.ON THE GROUND PAUC A I AS INDICATED >AA/p COAIMRMS LEVr " 5 T ZO/1//Nr No.,I06I7 w 7 TE RE I TERED,, L SURVEYOR. r .EVY a ELDREDGE ASSOCIATES,IMC. . ,ems , CLIENTh04D/N �+�.RTO' PLOT PLAN ENGINEERS - LANDSCAPE ARCHITECTS JOB NO„/2�zlob , M1 PLANNERS- LAND SURVEYORS LPT DR. BY .J�!• IN 889 WE MAIN STREET CHKD,9Yi 1l t ke CENTER ILLE, MA. 02632 SPIFFY I l ,r.' , ' .. .....QF..,., CALE� OATEN 4 a pf TxETp` TOWN OF BARNSTABLE Permit No. ...-:n. r.,z...... r BUILDING DEPARTMENT { Cash SAMF TOWN OFFICE BUILDING ' riv HYANNIS,MASS.02601 Bond ........ ....... CERTIFICATE OF USE AND OCCUPANCY Issued to A ATT*Tf fr AT)T Tr T7n.T TTATA� el r%IATA)TWTV Address ;n lot #95 152 Lauries Lane, Viarstons dills USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .............. ............. 19.......:......... �,.. .��.... ........ 11 '�Y • BuildingfInspector N @ '�•� TOWN OF BARNSTABLE BUILDING DEPARTMENT e _ SIT = TOWN OFFICE BUILDING rrua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building QDepartment DATE: An Occupancy Permit has been issued for the building authorized by Building Per issuedto .. ......... ... . ........... ...................._...�..�...... ... . Please release the performance bond. Assessor's office (Ist floor): tCa1GN'tiG ENGINEER Mtn "FTWE> VIS. Asses;or's map and lof n.umber .......� .u /..... wTALLATION AND CERTNr Board of Health (3rd floor): d�) ' Sy, WAS INST Sewage Permit number ................... .... . . _'a'`C�TO PLAN. y Z BAW STABLE, i Engineering Department (3rd .floor) � SEPTIO SYSTEM MUST tb 9• House number ......./. ....A................ i A;�TALLED IN C o Apr a OMPLIANC APPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00, P.M. only; WITH TITLE 5 T A�c ODE AP-M TOWN OF BARNS AATIONS BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ...... .... .................................................................!...��/ . ........ .................... r TYPE OF CONSTRUCTION �� rr '+. �......�." '4 ..... ..... .......................:............19. ... _ (. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a::�per according to the folio ng information: Location ...... .1........ .... ...'J...... .l. ... .�........ . . ../�N... ..�, .. � �... Proposed Use ....:../................ '?..........YL..L✓ �—� ................................................ Zoning District' ......................./.... .,..:.............................Fire District .... ...................... Name of Owner .... .... . .............. . �'�.. .�?.4/�? �I�GAdass ............... ... ,?/...............:g........a:...�... ... � � .. ... �..... .........�,.� << ...ti Name of Build Address Name of Architect .....G z... .... .. ln. .........:..........Address ......... � L.� ................. Number of Rooms .......:...... ...... ......Foundation ... .......Ldx l/..:....:............. .................... .................... �+ � // Exterior .s�. ...........�.-. ... ........a'C .�.... ....G,D'9'. '...Roofing .../..� �1u Floors `3 Y..... ... ...7-.O..eC......1/ �R!..y..e......Interior ...... .:L.....C��l.....�r :G L Heating ... 4C.G.l./...0...................................................Plumbing .......z......... / L,,. ...................:................... Fireplace �� ..............................................Approximate Cost ............. .`�T.r............. ......::..................... `��(/ . Definitive Plan Approved by Planning Board ________________ cz� 19_�. Area .....1..........�....... .... ......... Diagram of Lot and Building with Dimensions �� Fee ..�y< `,..1 . ................. SUBJECT TO APP OVAL OF BOARD OF HEALTH I�= � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to. conform to all the, Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. C.... .1��*!!.�1,0�..... ....... . ...... Construction Supervisor's license BARNSTABLE HOLDING CO. 3 0 4 M2 No ................. Permit for ....11 S tO KY.1... . ........... ......... S g.'J.g�. y...f?:K!:�1.1 i ng........... i n.... Location ...... 1.5.2....L a.u.r i-.e.s....Lane � , .... .. .... .. . Marstons N ......................................... ...................... Barnstable Holdin Owner ..................................................q... Type of Construction ..........F.KAIRQ................... ............................................................................... Plot ............................ Lot ................................ Io Ir I X/ Permit 'Granted ......Ma....r....ch....6............ .......19 Date of.Inspection ........................ .19 4 Date Completed .... -7..........19 lw� L; 46, 64 r „4.: Assessor's offioe (1st floor); �0 FTNEt ` Assesaor"s map and lot number .......��s ..`. r ,..•, 0 b�?r ♦w Boars( of Health (3rd floor); ^ ge Permit number ............................�....................... .... 'oBA�HO3 Y9TAYAM aL•Ee�.Seg +rbEnineering Department (3rd floor): o39• House number C ..4....... , : ....... . S APPLICATIONS PROCESSED 8:30-9130 A.M. and 1:00-2:00 P.M. only TOWN OF • BARNSTABLE t BUILDING INSPECTOR APPLICATION FOR PERMIT TO �C- i ..... �........................ TYPE O/ CONSTRUCTION ....... ..,•,•,.,/,., -1...ry. �G , Grp.......................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r Location .............../.............. 'a....... ........ ......................................................................................... Proposed Use ..... .:/ ..... G•-�.d/ './....,.. e.................................................................................. ............... ........ . Zoning District .............................. ..................................Fire District,", ./ ......................./ // / Name of Owner .t;. ........... ....,.......................................:...�!r.Address ................ �.... , Name of Builder �r�s/,�//�lJ�� r/ ..s.................Address A vr .. ?! !. ./.:,fo! ... / Name of Architect ./......... / �`..�Z. .`7...v?l../- ......�..................Address ...,....-.......�....f:. ! !'s✓ ✓�!„� � . Number of Rooms ............ t.. ......................... . ..Foundation ......C .!Ir'•?.rr ... ....:.. ,r* s Exterior .t:3.f./,.'? /' •..l..J....k ... !`G D.7�.d Roofing ,;."�i.�?7 C.. */:✓... �.' Floors .. `... ±:'.......!�:;t.?.<. ., Interior .............................. h� < :� � Heating ......... .!`::/. ..!. ..................................................Plumbing Z.'../ t dl�il Fireplace ...........Approximate Cost . Definitive Plan Approved by Planning Board ____�Q 19_-`_3. Area .......................................... Diagram of Lot and Building with Dimensions V � ' Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � S s F • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . r.t,nn..... (?.A: Construction Supervisor's License %�.. �.... % /�. B&RNSTABLE HOLDING CO. ' Np�'3P!4�2. Permit for — ............. ' ` S .. _Dvvalli�n�I___ ' Location .......I5.2...L.auri!�gi / -----. �/�-- Owner ....Barnstable Holding.. ' Type of Construction —. ^-------' / � --------------------------' / Plot ............................ Lot ----------' Murolz 6 87 Permit G,unxyJ --------.�----]P Doha of Inspection -----------^]g Dote Completed ------------'lA - ' . ` ' u D -/-aT rk6 7 E c7"/Q n! S 4t Tio,A/ . F ivgoM A, rioURa/ r S,5,0p , L o T �7 5 (1 5 91 r ' s 24± f .� f LI)71(o2- LA o LAn/ i„ z - s CERTIFY THAT THE FouNDR-riaN' * ' SHOWN ON THIS PLAN IS P`t"o`'"�;r, LOCATED.ON THE GROUND °� PAUL A. AS INDICATED AND Con/MRMS LEVY A -7 . THE' Zo1//n/CT /_4U)S OIL 7W "I No. 1061/ . cc�/✓ pF $9��/STA�3L..� Y f T d s z z s7 - RE F TEREO S YOR } EVY 81 ELDREDGE ASSOCIATES,INC. $f1AFWS CLI ENT kocaow CERT IFft PLOT f ' p N 3 .ENGINEERS - LANDSCAPE ARCHITECTS J08 NO /2//0' PLANNERS � q Lane h — LAND SURVEYORS DR. BY � ,lN• ! F ' MAIN STREET CHKD. B&r"" '6"ria 6 k a P� Ac CENTERVI LLE, MA.' 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T rr � �01— err. .`.fit- r ,"`'�. ,{. z.{1+',.•<'.�4,ar ,: •.`.:. ..ri`.•M ....Pr 'ST+•P t vt•..r,.,'..i� • t'.H .�'1�.,.P:!s,'k, K:11 M r ,c ;i ..�.:�'&i., e •'�r`.+^€u`.GSt. SA n-Tk EL: TOP OF FOUNDATION ' CONCRETE COVERS CONCRETE COVER •.: e 4"CAST IRON II ' ir. .; OR SCHEDULE 482„MAX' ' P.V.C. PIPE !",.SCHEDULE 40 PV.C.(ONLY) 12"MAX. .•' - , T • PITCH 1/4"PER.FT PIPE - MIN:' I o,• PITCH 1/4'PER.FT. LEACH PIT�—INVERT PRECAS . • o'. io'' iy LEACH II, ^'• SEPTIC TANK , INVERT DIST. INVERT : . a�: PIT OR e INVERT E0..7XEy• DOX ELS'7.XQ,8 >_ EOUIV 'INVERT ,. �. r=►— . , a ELXl/ Y. INVERT 3/4"TO1I ELAKr. WASHEf STONE o _ 3 PROR LE OF NO GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE . O.I.L... LOG . WITNESSED BY DATEy � ./ � TIME.. . .. . . . . BOARD OF HEALTH TEST HOLE F , TEST HOLE 2 : ELEV.: oXQ. . . . . ELEV. .. �?=. .Rs . . . . . ENGINEER 77717, 0-3 1 A ! DESIGN DATA NUMBER OF BEDROOMS 3 Sf1/!F TOTAL ESTIMATED FLOW 33 v /t5 . . . . GALLONS/DAY pE BOTTOM LEACHING AREA 7 g SOFT, /PI7 SIDE LEACHING AREA . . . /Q•�J SO-FT./ PIT GARBAGE DISPOSAL 0. : . •(50% AREA INCREASE) 39yo) TOTAL -LEACHING AREA SOFT PERCOLATION RATE . 1, rZ,. !�,Si9i►//J MIN/INCH .AIA .WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. . . ... SO.FT. i - NUMDER OF LEACCHHIIN PITS Q. � APPROVED , , . , BOARD OF HEALTH Tr R 2- - .3-i 0r - - DATE. . . .'. . : 2,ZTRN -• .z8�s�3 .0•y �.�J. .27, YGi?/' ! AGENT :OR: INSPECTOR i _.._ . %AL Sq 4OT. COBI - PETITIONER DAVID W. PYNE, P. C. ATTORNEYS AT LAW P.O. BOX 941 149 MAIN STREET HYANNIS, MASSACHUSETTS 02601 (617) 771-4313 DAVID W. PYNE January 22, 1987 ASSOCIATE COUNSEL ARTHUR M. DONAHUE 19 GREEN ST. KINGSTON. MA 02364 Mr. Joseph Daluz , Building Inspector 746-9211 Town of Barnstable Barnstable Town Hall Hyannis , MA 02601 Dear Mr. Daluz : I have. been asked to provide. you with information regarding Lot 95; Wakeby Estates ,- Marstons Mills; .MA. Specifically, I wish to state that there has never been a common ownership between the owners of Lot 95 and any abutting Lots. In 1975, Lot 95 was conveyed to Pyne and Weber, P.C. When Pyne and Weber, P.C. dissolved .in 1978 , the Lot was conveyed to Don N. Weber and David .W. Pyne, as tenants in common. In-May of 1980 , I conveyed my one-half interest' in the Lot to James McMahon and Michael S. Avratin, Trustees; the other half continued'.to be' owned by. Don N. Weber. In July, 1981 , James McMahon and Michael S. Avratin, Trustees , conveyed a one-half- interest to Arthur M. Donahue , the other half continued to be- own by Dori N. Weber. Title stood in the name of Don N. Weber and Athur M. Donahue from 1981 until August ,29", 1986, at which time the property was coveyed - to me as Trustee of Pyne Brothers Trust. The title presently stands that way today. Title on Lot 96 came to,. David Pyne as sole owner in 1975. In 1980, David Pyne conveyed his entire interest to Michael S. Avratin and James McMahon, Trustees. Also in 1980, James McMahon and Michael S. Avratin, Trustees conveyed all right, title and interest in the property to Diana Rogerson. Diana Rogerson subsequently conveyed her 'interes,t to Charles F. Pyne. In October, 1984, Charles F. Pyne conveyed Lot 96 to David W. Pyne.,, ,Trustee of Pyne Brothers Trust and in February, 1986 , I conveyed that property to Robert B. Dunphy. At no time, were Lots 95, 96 or Lot 94, contiguous Lots, owned by the same owner. Very truly yours, ;avi ID W. YNE, P.C. Pyne DWP/mbj i ( /LOCUS DATA WAKEBY ROAD// ��OF v z CURRENT OWNER PHILLIP H & / °yo �� EDAARD PHYLLIS A No. 0 N �Q� �9 Zcs o ANDERSON / o �o 2 � PLAN REFERENCE 272-92 °y,� p �� 9G LOCUS ? DEED REFERENCE 31106-132 / 39.0 s 6 : / � 2 07 ZONING DISTRICT RF CO/ ^� � F 28 FRONT 30' / ^o� lab �S8¢ , SIDE 15' / 24 6' 6 LOCUS MAP REAR 15' NOT TO SCALE: FLOOD ZONE "X" 18-0118 / ev z LOT 94 ASSESSORS MAP 027 PARCEL 121 152 OVERLAY DISTRICT ZONE II / WP J // EXISTING LOT AREA 20,721 t S.F. u / `�\ W\ \ DWELLING SEPTIC SYSTEM / o LOCATION \ O PROPOSED UTILITY / DECK GARAGE LOCATION POLE O E / 60.4' / PLAN #152 L A URIE'S LANE 41 18.0' IN SHED � D � � ryo MARSTONS MILLS, MA DATE: OCTOBER 29, 2018 \ �. CONCRETE N PROPOSED C-9 BOUND FOUND GARAGE OWNER/APPLICANT: (TYPICAL) z PHILLIP ANDERSON LOT 95 152 L A U R I E'S LANE 46.4' , �o, 20,721 t MARSTONS MILLS MA 02648 ' 21'7 SHEET 1 OF 1 H 00 ss29. 67.7' �`�• PREPARED BY: '? w 1¢ r EAS SURVEY, INC. LOT 96 P. O. BOX 1729co a �� SANDWICH , MA 02563 0 20 30 40 PH. (508) 888-3619 c CELL (508) 527-3600 GRAPHIC SCALE: EAS.SURVEY@YAH00.COM 1 INCH = 20 FEET " HURRICANE CLIPS " AS REQUIRED FOR ATTACHMENT AT LEDGER. ATTACH LEDGER TO 12 i EXISTING HOUSE U51N6 LAG BOLT5 AS REQUIRED: 4 ASPHALT 5HIN61-E5 (T.M.E.) 1/2" CDX PLYWOOD \rb REMOVE EXIST. PLYWOOD 2X8 5 @ I6 11 O.G. i 2X�5 - 5EGTION5 AT HIGHEST , / 4 INTERMEDIATE POINT TO ALLOW FOR VENTING. HU E CLIPS SUPPORTS AT I6 O.C. ALUM. DRIP EDGE 2X6'S @ 16" O.G. ALUM. GUTTER ON IX8 FASCIA I GALVANIZED JOIST v IX8 SOFFIT W/ V-GROVE PINE I CONNECTIONS HANGERS AT ATO LL J� IX6 CEILING ON ` M CONT. 2" VENT IX STRAPPIN / G LEDGERS 8 RIM vo i BOARD5 (TYPICAL) IX8 FRIEZE (2) 15/4 X 7 1/4 I CONT. LVL. USE STRAPS ALONG 5112E OF 4X4 P05T5 OVER THE TOP OF TOP PLATE AND EXISTING HOUSE DOWN OTHER 5112E WALL. GONT, 4X4 POSTS W/ IX WRAP I I AHOG. DECKING ON T. 2XV5 @ 16" O.G. IX5 / IX8 TRIM ATTACH POSTS W/ P.T. 2XO15 @ 16" O.G. 'i { ATTACH LEDGER TO —� EXISTING HOUSE U51NG CARRIAGE BOLTS / ALUMINUM OR PVC TO RIM BOARD URRIGANE CLIPS GALVANIZED JOIST J STAND-OFFS AND AS REQUIRED HANGERS AT ALL LAG BOLT5 AS REQUIRED CONNECTIONS TO LEDGER5 $ RIM ATTACH (2) GONT. P.T. 2XI2'S BOARDS (TYPICAL) TO POSTS W/GALVANIZED OR STAINLESS STEEL CARRIAGE THRU-5OLT5 EXISTING GONG. (TYPICAL) FOUNDATION WALL t P.T. 4X4 P05T5 W/ GALV. STEEL ANCHORS z loll GONG. 50NATUBE ' — ON 2-0 PIA. 15I6FOOT" o GONG. FOOTING SYSTEM v •-----------J S G 71 O N / D E T A I L 5 G A L E I / 2 = 1 ' - O ', �� '�� "b ee.. 1109 NEW DECK PLAN5 FOR THE ens a e �� deta MAY 5.2011 ANp�pN R-MIPME all nerdlltq br M conFa ADS da Vle M W W 4MII he/EIY 1, �� ,�,a-euce lee,,, ARCI-jjT1;C`F'URAL I7I;S'I�N SC7LUTIC7N'S 152 LAURI E5 LN.BARN5TABLE,MA theee ee e�eP � t w tw ouantron ee the cree19— tcl-5 08-4 7 7-8930 dnen PAH pncr b tM lbgYNn9 oe nw'tc THHIIPGC� }11H i �1O Ig,,�'d1Ofe cc11-774-487-0093 SITE / DECK PLAN a ex�nn�ieea °v5 cnPohousr.PlnncC[A�al.com Alt'of 1'9 O •fit 1 ' HURRICANE CLIPS AS REQUIRED FOR ATTACHMENT AT LEDGER. / ATTACH LEDGER TO 12 / / EXI5TIN(5 HOUSE U5IN6 / LAG BOLTS AS REOUIRCV, / 11//2" CDX PLYWOOD (T,M.E,) / 2X�5 \�0" O.G REMOVE EXIST. PLYW00C) 2X8'5 ® 16" O.C. SECTIONS AT HIGHEST / / 4 INTERMEDIATE POINT TO ALLOW FOR / 5UPPORT5 AT 16" O.G. VENTING. . ALUM. DRIP EDGE / HU E CLIPS 2X6'S @ 16" O.C. , ALUM. GUTTER ON IX8 FASCIA GALVANIZED JO ST _. V-GROVE PINE HANGERS AT ALL IX8 SOFFIT W/ I/- CEILING ON CONNEC7ION5 TO CONT. 2'! VENT IX STRAi'PING r LEDGER5, & RIM BOARDS (TYPICAL) IX8 FRIEZE (2) 1 5/4 X 7 1/4 CONT. LVL. USE STRAPS ALONG C; 51DE OF 4X4 POSTS +: OVER THE TOP OF °:TOP.PLATE AND "EXISTING HOUSE DOWN OTHER SIDE L WALL, CONT. 4X4 P05T5 Wl IX WRAP 1 .b !- - IX4 MAHOG. DECKING ON , F.T. 2X8'5 @ 16" O.G. . IX5 / IX8 TRIM 1 - F T. 2X8'5 @ 16" O.C. I ATTACH LEDGER TO ATTACH POSTS W/ EXISTING HOUSE U51N6 CARRIAGE BOLTS ALUMINUM OR PVC TO RIM BOARD HURRICANE CLIPS A5 REQUIRED GALVANIZED J015T STAND-OFFS AND HAN6ER5 AT ALL LAG BOLTS A5 REQUIRED CONNECTIONS TO I - LEDGER5 $ RIM 1 + ATTACH(2).CONT. P.T. 2XI2'5 BOARDS(TYPICAL) TO POSTS W/GALVANIZED t. OR STAINLE55 STEEL N CARRIAGE THRU-BOLTS EXISTING GONG. (TYPICAL) it FOUNDATION WALL: P.T. 4X4 POSTS W/ GALV. STEEL ANCHORS z 10" GONG. 50NATUBE ` ` �i— ON 2-0 PIA. "BIGFOOT" GONG. FOOTING SYSTEM t ------------ E C. T 1 O N / l7 E T A I L 5 G A L E 1 / 2 = 1 ' - O " z *� ,lob os.: h09 -NE lor"V - ADS - .. NEW PECK PLANS FOR THE The I by a eMu:�ta�I seta MAY B,ZOII ANDERWN RESIDENCE all, ,pan lMllty P Cne omen! , .: _ {� aw aw M tivee aaPYg,°n'i error �, IV1 acnls p9 wanes,-a, I can A'RCH:IT'Z;CTLIliA'L I�73S'ICiN SC7LiJT"IC7N'S 152 LAURIES LN.BARN5TABLE,MA lows draw gn M. x caught NOTHl amen w the attenum or the Gealgner mash � tel-506-1.77-8930 vAN prlar to the begaIta- prohttecwedoeslgn9ol�tlan+ t ccll-774-487-0093 - 517E /OEGK PLAN tree t., .sly re 119— he �n�,el,�u Ep�nn�C?ne,�.eom , op�p r of lnew a-aHmge accoraing �- t o NchlAot-O Works Gopp!git ' - Pfotxtton Aet•of 1990.